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(12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) 



(19) World Intellectual Property Organization 

International Bureau 

(43) International Publication Date 
10 May 2001 (10.05.2001) 




PCT 



(10) International Publication Number 

WO 01/33216 Al 



(51) International Patent Classification 7 : G01N 33/487, 

33/543, 27/42 

(21) International Application Number: PCT/US00/29540 

(22) International Filing Date: 27 October 2000 (27.10.2000) 

(25) Filing Language: English 

(26) Publication Language: English 

(30) Priority Data: 

09/434,026 4 November 1999 (04.1 1.1999) US 

(71) Applicant: THERASENSE, INC. [US/US]; 1360 South 
Loop Road, Alameda, CA 94502 (US). 

(72) Inventors: LIAMOS, Charles, T.; 2444 Via De Los 
Milagros, Pleasanton, CA 94566 (US). FELDMAN, 



Benjamin, J.; 5830 Colby Street, Oakland, CA 94618 
(US). FUNDERBURK, Jeffery, V.; 37670 Carriage Circle 
Common, Fremont, CA 94536 (US). KRISHNAN, Ra- 
jesh; 4211 Central Avenue, Apt. #1, Fremont, CA 94536 
(US). PLANTE, Phillip, X; 268 Monterey Boulevard, 
San Francisco, C A 94131 (US). VIVOLO, Joseph, A.; 
1548 Haight Street, San Francisco, CA 941 17 (US). JIN, 
Robert, Y.; 7663 Pineville Circle, Castro Valley, CA 
94552 (US). CLOUD, Michael, S.; 2008 Pacific Avenue 
#C, Alameda, CA 95401 (US). COLMAN, Fredric, C; 
13864 Campus Drive, Oakland, CA 94605 (US). 

(74) Agent: DAIGNAULT, Ronald, A.; Merchant & Gould 
P.C., P.O. Box 2903, Minneapolis, MN 55402-0903 (US). 

(81) Designated States (national): AE, AG, AL, AM, AT, AT 
(utility model), AU, AZ, BA, BB, BG, BR, BY, BZ, CA, 
CH, CN, CR, CU, CZ, CZ (utility model), DE, DE (utility 
model), DK, DK (utility model), DM, DZ, EE, EE (utility 

[Continued on next page] 



= (54) Title: SMALL VOLUME IN VITRO ANALYTE SENSOR AND RELATED METHODS 




320 



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m 



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* 322 



(57) Abstract: A small volume sensor, and methods of making, for determining 
the concentration of an analyte, such as glucose or lactate, in a biological fluid, such 
as blood or serum, using techniques such as coulometry, amperometry, and poten- 
tiometry. The sensor includes a working electrode and a counter electrode, and can 
include an insertion monitoring trace to determine correct positioning of the sensor 
in a connector. In one embodiment, the sensor determines the concentration of the 



~anaJyte"by"aMscfrarging an~amouht "of "charge info' the "sampler deter mining the~time~ 
needed to discharge the charge, and determining the current used to electrolyze a 
portion of the analyte using the amount of charge and the amount of time. 



WO 01/33216 Al MIMIIIH1MIMII 



model), ES, FI, FT (utility model), GB, GD, GE, GH, GM, 
HR, HU, ID, IL, TN, IS, JP, KE, KG, KP, KR, KR (utility 
model), KZ, LC, LK, LR, LS, LT, LU, LV, MA, MD, MG, 
MK, MN, MW, MX, MZ, NO, NZ, PL, PT, RO, RU, SD, 
SE, SG, SI, SK, SK (utility model), SL, TJ, TM, TO, TT, 
TZ, UA, UG, UZ, VN, YU, ZA, ZW. 

(84) Designated States (regional): ARIPO patent (GH, GM, 
KE, LS, MW, MZ, SD, SL, SZ, TZ, UG, ZW), Eurasian 
patent (AM, AZ, BY, KG, KZ, MD, RU, TJ, TM), European 
patent (AT, BE, CH, CY, DE, DK, ES, FI, FR, GB, GR, IE, 
IT, LU, MC, NL, PT, SE), OAPI patent (BP, BJ, CF, CG, 
CI, CM, GA, GN, GW, ML, MR, NE, SN, TD, TG). 



Published: 

— With international search report. 

— Before the expiration of the time limit for amending the 
claims and to be republished in the event of receipt of 
amendments. 

For two-letter codes and other abbreviations, refer to the "Guid- 
ance Notes on Codes and Abbreviations" appearing at the begin-, 
ning of each regular issue of the PCT Gazette. 



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1 

SMALL VOLUME IN VITRO ANALYTB SENSOR AND RELATED METHODS 

Field of the Invention 

This invention relates to analytical sensors for the detection of 
5 bioanalytes in a small volume sample, and methods of making and using the sensors. 

Background 

Analytical sensors are useful in chemistry and medicine to determine 
the presence and concentration of a biological analyte. Such sensors are needed, for 
10 example, to monitor glucose in diabetic patients and lactate during critical care 
events. 

Currently available technology measures bioanalytes in relatively 
large sample volumes, e.g., generally requiring 3 microliters or more of blood or 
other biological fluid. These fluid samples are obtained from a patient, for example, 

1 5 using a needle and syringe, or by lancing a portion of the skin such as the fingertip 
and "milking" the area to obtain a useful sample volume. These procedures are 
inconvenient for the patient, and often painful, particularly when frequent samples 
are required. Less painful methods for obtaining a sample are known such as 
lancing the arm or thigh, which have a lower nerve ending density. However, 

20 lancing the body in the preferred regions typically produces submicroliter samples of 
blood, because these regions are not heavily supplied with near-surface capillary 
vessels. 

It would therefore be desirable and very useful to develop a relatively 
painless, easy to use blood analyte sensor, capable of performing an accurate and 
25 sensitive analysis of the concentration of analytes in a small volume of sample. 

It would also be desirable to develop methods for manufacturing 
small volume electrochemical sensors capable of decreasing the errors that arise 
from the size of the sensor and the sample. 



30 



Summary of the Invention 

The sensors of the present invention provide a method for the 
detection and quantification of an analyte in submicroliter samples. In general, the 



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2 

invention includes a method and sensor for analysis of an analyte in a small volume 
of sample by, for example, coulometry, amperometry and/or potentiometry, A 
sensor of the invention preferably utilizes a non-leachable or diffusible redox 
mediator. The sensor also includes a sample chamber to hold the sample in 
5 electrolytic contact with the working electrode. In many instances, the sensor also 
contains a non-leachable or diffusible second electron transfer agent. 

In a preferred embodiment, the working electrode faces a counter 
electrode, forming a measurement zone within the sample chamber, between the two 
electrodes, that is sized to contain no more than about 1 jaL of sample, preferably no 
10 more than about 0.5 jiL, more preferably no more than about 0.32|iL, still more 
• preferably no more than about 0.25 jaL, and most preferably no more than about 0. 1 
(iL of sample. 

In one embodiment of the invention, a sensor, configured for 
insertion into an electronic meter, is provided with a working electrode and a counter 

1 5 electrode, and a conductive insertion monitor which provides electrical contact with 
the electronic meter if the sensor is properly inserted into the meter. The conductive 
insertion monitor is configured and arranged to close an electrical circuit when the 
sensor is properly inserted into the electronic connector. 

In another embodiment of the invention, a sensor is provided with a 

20 plurality of contacts, each contact having a contact pad, which is a region for 

connection with an electronic meter. The plurality of contacts and contact pads are 
disposed on a substrate having a length and a width, and each contact pad has a 
contact pad width taken parallel to the width of the substrate. The sum of the 
contact pad widths is greater than the width of the substrate. In a preferred 

25 embodiment, six electrical connections are made with six contact pads on the sensor 
but in a width that is approximately the width of four contact pads. For example, a 
working electrode, three counter electrodes (e.g., one counter electrode and two 
indicator electrodes), and two insertion trace connections each have a contact pad; 
connection can be made to each of these six contact pads in the same width of the 

30 contact pads of the working electrode and three counter electrodes. 

The present invention also includes an electrical connector, for 
providing electrical contact between a sensor and an electrical meter or other device. 



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3 

The electrical connector has a plurality of contact structures, each which has a 
proximal contact end for electrical connection to a sensor contact, and a distal end 
for electrical connection to the electrical device. In one embodiment, a plurality of 
first contact structures extend longitudinally parallel from the distal to the proximal 
5 end. Additionally, one or more second contract structures extend longitudinally next 
to the first contact structures, from the distal end past the proximal end of the first 
contact structures, and angle toward a longitudinal center line of the connector. 
Contact to the sensor is then made via the proximal contact ends. 

Preferably, the electrical connector has at least two second contact 

1 0 structures extending longitudinally past the proximal end of the first contact 

structures and angling toward the longitudinal center line of the connector. After the 
angled or bent portion, the proximal contact ends of the second contact structures of 
one embodiment make electrical contact with a single conductive surface of a 
sensor, such as a conductive insertion monitor. In another aspect, the first contact 

15 structures can be configured and arranged to contact one or more working and/or 
counter electrodes of a sensor, and the second contact structures are configured and 
arranged to contact one or more conductive insertion monitors. 

The sensors of the present invention can be configured for side-filling 
or tip-filling. In addition, in some embodiments, the sensor may be part of an 

20 integrated sample acquisition and analyte measurement device. The integrated 
sample acquisition and analyte measurement device can include the sensor and a 
skin piercing member, so that the device can be used to pierce the skin of a user to 
cause flow of a fluid sample, such as blood, that can then be collected by the sensor. 
In at least some embodiments, the fluid sample can be collected without moving the 

25 integrated sample acquisition and analyte measurement device. 

In one embodiment, the sensor is connected with an electrical device, 
to provide a processor coupled to the sensor. The processor is configured and 
arranged to determine, during electrolysis of a sample in the sample chamber, a 
series of current values. The processor determines a peak current value from the 

30 series of current values. After the current values decrease below a threshold fraction 
of the peak current values, slope values are determined from the current values and 
represent a linear function of the logarithm of current values over time. The 



WO 01/33216 PCT/USOO/29540 

4 

processor determines, from the slope values, an extrapolation slope. From the 
extrapolated slope and the measured current values, the processor determines an 
amount of charge needed to electrolyze the sample and, from that amount of charge, 
the concentration of the analyte in the sample. 
5 One method of forming a sensor, as described above, includes 

forming at least one working electrode on a first substrate and forming at least one 
counter or counter/reference electrode on a second substrate. A spacer layer is 
disposed on either the first or second substrates. The spacer layer defines a chamber 
into which a sample can be drawn and held when the sensor is completed. A redox 

10 mediator and/or second electron transfer agent can be disposed on the first or second 
substrate in a region that will be exposed within the sample chamber when the 
sensor is completed. The first and second substrates are then brought together and 
spaced apart by the spacer layer with the sample chamber providing access to the at 
least one working electrode and the at least one counter or counter/reference 

15 electrode. In some embodiments, the first and second substrates are portions of a 
single sheet or continuous web of material. The invention includes particularly 
efficient and reliable methods for the manufacture of these sensors. 

One such efficient and reliable method includes providing an 
adhesive having first and second surfaces covered with first and second release liners 

20 and then making detailed cuts through the first release liner and the adhesive but not 
through the second release liner. These cuts define one or more sample chamber 
regions. A portion of the first release liner is removed to expose a portion of the first 
adhesive surface, which leaves a remaining portion of the first release liner over the 
sample chamber regions. This exposed first adhesive surface is applied to a first 

25 substrate having one or more conductive traces disposed thereon. The second 

release liner is removed together with the adhesive and the first release liner of the 
sample chamber regions in order to expose the second adhesive surface. The second 
adhesive surface is then applied to a second substrate having one or more conductive 
traces disposed thereon. This method forms a sensor having a sample chamber 

30 corresponding to one of the sample chamber regions. 

These and various other features which characterize the invention are 
pointed out with particularity in the attached claims. For a better understanding of 



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5 

the invention, its advantages, and objectives obtained by its use, reference should be 
made to the drawings and to the accompanying description, in which there is 
illustrated and described preferred embodiments of the invention. 

Brief Description of the Drawings 

5 Referring now to the drawings, wherein like reference numerals and 

letters indicate corresponding structure throughout the several views: 

Figure 1 is a schematic view of a first embodiment of an 
electrochemical sensor in accordance with the present invention having a working 
electrode and a counter electrode facing each other and having a sample chamber; 
10 Figure 2 is an exploded view of the sensor shown in Figure 1, the 

layers illustrated individually; 

Figure 3 is a schematic view of a second embodiment of an 
electrochemical sensor in accordance with the principles of the present invention 
having a working electrode and a counter electrode facing each other and having an 
1 5 extended sample chamber; 

Figure 4 is a top view of a third embodiment of an electrochemical 
sensor in accordance with the principles of the present invention, this sensor 
includes multiple working electrodes; 

Figure 5A illustrates a top view of a first substrate with a working 
20 electrode for use in a fourth embodiment of a sensor according to the invention; 

Figure 5B illustrates a bottom view of a second substrate (inverted 
with respect to Figure 5A) with counter electrodes placement over and opposite the 
substrate of Figure 5 A; 

Figure 5C illustrates a top view of a spacer for placement between the 
25 first substrate of Figure 5 A and the second substrate of Figure 5B; 

Figure 6A illustrates a top view of a first film with a working 
electrode for use in a fifth embodiment of a sensor according to the invention; 

Figure 6B illustrates a top view of a spacer for placement on the first 
film of Figure 6 A; 



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6 

Figure 6C illustrates a bottom view of a second film (inverted with 
respect to Figures 6 A and 6B) with counter electrodes placement over the spacer of 
Figure 6B and first film of Figure 6 A; 

Figure 7A illustrates a top view of a first film with a working 
5 electrode for use in a sixth embodiment of a sensor according to the invention; 

Figure 7B illustrates a top view of a spacer for placement on the first 
film of Figure 7 A; 

Figure 7C illustrates a bottom view of a second film (inverted with 
respect to Figures 7A and 7B) with counter electrodes placement over the spacer of 
10 Figure 7B and first film of Figure 7A; 

Figure 8A illustrates a top view of a first film with a working 
electrode for use in a seventh embodiment of a sensor according to the invention; 

Figure 8B illustrates a top view of a spacer for placement on the first 
film of Figure 8 A; 

1 5 Figure 8C illustrates a bottom view of a second film (inverted with 

respect to Figures 8A and 8B) with counter electrodes placement over the spacer of 
Figure 8B and first film of Figure 8 A; 

Figure 9A illustrates a top view of a first film with a working 
electrode for use in a eighth embodiment of a sensor according to the invention; 
20 Figure 9B illustrates a top view of a spacer for placement on the first 

film of Figure 9 A; 

Figure 9C illustrates a bottom view of a second film (inverted with 
respect to Figures 9A and 9B) with counter electrodes placement over the spacer of 
Figure 9B and first film of Figure 9A; 
25 Figure 10A illustrates a top view of a first film with a working 

electrode for use in a ninth embodiment of a sensor according to the invention; 

Figure 10B illustrates a top view of a spacer for placement on the first 
film of Figure 10A; 

Figure 10C illustrates a bottom view of a second film (inverted with 
30 respect to Figures 10A and 10B) with counter electrodes placement over the spacer 
of Figure 10B and first film of Figure 10A; 



WO 01/33216 PCTYUSOO/29540 

7 

Figure 1 1 A illustrates a top view of a first film with a working 
electrode for use in a tenth embodiment of a sensor according to the invention; 

Figure 1 IB illustrates a top view of a spacer for placement on the first 
film of Figure 11 A; 

5 Figure 1 1C illustrates a bottom view of a second film (inverted with 

respect to Figures 1 1 A and 1 IB) with counter electrodes placement over the spacer 
of Figure 11B and first film of Figure 11 A; 

Figure 12A illustrates a top view of a first film with a working 
electrode for use in a eleventh embodiment of a sensor according to the invention; 
10 Figure 12B illustrates a top view of a spacer for placement on the first 

film of Figure 12 A; 

Figure 12C illustrates a bottom view of a second film (inverted with 
respect to Figures 12A and 12B) with counter electrodes placement over the spacer 
of Figure 12B and first film of Figure 12 A; 
15 Figure 13A illustrates a top view of one embodiment of a sheet of 

sensor components, according to the invention; 

Figure 13B illustrates a top view of another embodiment of a sheet of 
sensor components, according to the invention; 

Figures 14A through 14F illustrate cross sectional views of a 
20 sequential process of providing a sample chamber in a spacer layer; 

Figure 14G is a bottom view of Figure 14B; 

Figure 1 5 A is a graphical representation of the current over time used 
to calculate the concentration of an analyte; 

Figure 15B is a graphical representation of the log of current over 
25 time used to calculate the concentration of an analyte; 

Figure 16A is a top perspective view of a sensor positioned for 
insertion within an electrical connector device in accordance with the present 
invention; 

Figure 16B is an exploded view of the electrical connector device of 

30 Figure 16A; 

Figure 17A is a top perspective view of a sensor fully positioned 
within the electrical connector device of Figure 16 A; 



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8 

Figure 17B is an exploded view of the electrical connector device of 

Figure 17A; 

Figure 18A is a bottom perspective view of the electrical connector 
device of Figures 16 A and 16B; 
5 Figure 18B is a bottom perspective view of the electrical connector 

device of Figures 1 7 A and 1 7B ; 

Figures 19A through 19L illustrate examples of suitable conductive 
pathways between contact pads; 

Figure 20 illustrates a cross-sectional view looking from inside a 
1 0 connector to a sensor of the invention disposed within the connector; and 

Figure 21 illustrates a perspective view of a ring for use with a lancet 

device. 

Detailed Description of the Preferred Embodiment 

As used herein, the following definitions define the stated term: 
15 An "air-oxidizable mediator" is a redox mediator that is oxidized by 

air, preferably so that at least 90% of the mediator is in an oxidized state upon 
storage in air either as a solid or as a liquid during a period of time, for example, one 
month or less, and, preferably, one week or less, and, more preferably, one day or 
less. 

20 "Amperometry" includes steady-state amperometry, 

chronoamperometry, and Cottrell-type measurements. 

A "biological fluid" is any body fluid in which the analyte can be 
measured, for example, blood (which includes whole blood and its cell-free 
components, such as, plasma and serum), interstitial fluid, dermal fluid, sweat, tears, 

25 urine and saliva. 

"Coulometry" is the determination of charge passed or projected to 
pass during complete or nearly complete electrolysis of the analyte, either directly on 
the electrode or through one or more electron transfer agents. The charge is 
determined by measurement of charge passed during partial or nearly complete 

30 electrolysis of the analyte or, more often, by multiple measurements during the 
electrolysis of a decaying current and elapsed time. The decaying current results 



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9 

from the decline in the concentration of the electrolyzed species caused by the 
electrolysis. 

A "counter electrode" refers to one or more electrodes paired with the 
working electrode, through which passes an electrochemical current equal in 
5 magnitude and opposite in sign to the current passed through the working electrode. 
The term "counter electrode" is meant to include counter electrodes which also 
function as reference electrodes (i.e. a counter/reference electrode) unless the 
description provides that a "counter electrode" excludes a reference or 
counter/reference electrode. 

10 An "effective diffusion coefficient" is the diffusion coefficient 

characterizing transport of a substance, for example, an analyte, an enzyme, or a 
redox mediator, in the volume between the electrodes of the electrochemical cell. In 
at least some instances, the cell volume may be occupied by more than one medium 
(e.g., the sample fluid and a polymer film). Diffusion of a substance through each 

1 5 medium may occur at a different rate. The effective diffusion coefficient 

corresponds to a diffusion rate through this multiple-media volume and is typically 
different than the diffusion coefficient for the substance in a cell filled solely with 
sample fluid. 

An "electrochemical sensor" is a device configured to detect the 
20 presence of and/or measure the concentration of an analyte via electrochemical 
oxidation and reduction reactions. These reactions are transduced to an electrical 
signal that can be correlated to an amount or concentration of analyte. 

"Electrolysis" is the electrooxidation or electroreduction of a 
compound either directly at an electrode or via one or more electron transfer agents 
25 (e.g., redox mediators and/or enzymes). 

The term "facing electrodes" refers to a configuration of the working 
and counter electrodes in which the working surface of the working electrode is 
disposed in approximate opposition to a surface of the counter electrode. In at least 
some instances, the distance between the working and counter electrodes is less than 
30 the width of the working surface of the working electrode. 

A compound is "immobilized" on a surface when it is entrapped on or 
chemically bound to the surface. 



WO 01/33216 

PCT/US00/29540 

10 

An "indicator electrode" is an electrode that detects partial or 

complete filling of a sample chamber and/or measurement zone. 
A "layer" is one or more layers. 

The "measurement zone" is defined herein as a region of the sample 
5 chamber sized to contain only that portion of the sample that is to be interrogated 
during an analyte assay. 

A "non-diffusible," "non-leachable," or "non-releasable" compound is 
a compound which does not substantially diffuse away from the working surface of 
the working electrode for the duration of the analyte assay. 
1 ° 11,6 "Potential of the counter/reference electrode" is the half cell 

potential of the reference electrode or counter/reference electrode of the cell when 
the solution in the cell is 0.1 M NaCl solution at pH7. 

A "redox mediator" is an electron transfer agent for carrying electrons 
between the analyte and the working electrode, either directly, or via a second 
15 electron transfer agent. 

A "reference electrode" includes a reference electrode that also 
functions as a counter electrode (i.e., a counter/reference electrode) unless the 
description provides that a "reference electrode" excludes a counter/reference 
electrode. 

20 A " second electron tansfer agent" is a molecule that carries electrons 

between a redox mediator and the analyte. 

A "surface in the sample chamber" is a surface of a working 
electrode, counter electrode, counter/reference electrode, reference electrode, 
indicator electrode, a spacer, or any other surface bounding the sample chamber. 

A "working electrode" is an electrode at which analyte is 
electrooxidized or electroreduced with or without the agency of a redox mediator. 

A "working surface" is the portion of a working electrode that is 
covered with non-leachable redox mediator and exposed to the sample, or, if the 
redox mediator is diffusible, a "working surface" is the portion of the working 
30 electrode that is exposed to the sample. 

The small volume, in vitro analyte sensors of the present invention 
are designed to measure the concentration of an analyte in a portion of a sample 



25 



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11 

having a volume no more than about 1 \xL, preferably no more than about 0.5 pL, 
more preferably no more than about 0.32jiL, still more preferably no more than 
about 0.25 |iL, and most preferably no more than about 0.1 ^iL of sample. 

The analyte of interest is typically provided in a solution or biological 
5 fluid, such as blood or serum. 

Referring to the Drawings in general, and in particular Figures 1 and 
2, a small volume, in vitro electrochemical sensor 20 of the invention generally 
includes a working electrode 22 on a first substrate 32, a counter (or 
counter/reference) electrode 24 on a second substrate 34, and a sample chamber 26. 

10 The sample chamber 26 is configured so that when a sample is provided in the 
chamber, the sample is in electrolytic contact with the working electrode 22, the 
counter electrode 24 and any reference electrodes or indicator electrodes that may be 
present. This allows electrical current to flow between the electrodes to affect the 
electrolysis (electrooxidation or electroreduction) of the analyte. A spacer 33 is 

15 positioned between first substrate 32 and second substrate 34 to provide a spacing 
between electrodes 22, 24 and to provide sample chamber 26 in which the sample to 
be evaluated is housed. 

Working Electrode 

20 The working electrode 22 may be formed from a molded carbon fiber 

composite or it may include an inert non-conducting base material, such as 
polyester, upon which a suitable conducting layer is deposited. The conducting 
layer typically has relatively low electrical resistance and is typically 
electrochemically inert over the potential range of the sensor during operation. 

25 Suitable conducting layers include gold, carbon, platinum, ruthenium dioxide, 

palladium, and conductive epoxies, such as, for example, ECCOCOAT CT5079-3 
Carbon-Filled Conductive Epoxy Coating (available from W.R. Grace Company, 
Woburn, MA), as well as other non-corroding materials known to those skilled in 
the art. The electrode (e.g., the conducting layer) is deposited on the surface of the 

30 inert material by methods such as vapor deposition or printing. Preferably, the 
electrode is printed onto the base material. 



WO 01/33216 PCT/US00/29540 

12 

The inert non-conducting base material, is also referred to as a 
substrate, base, or the like. This base material is typically an electrically non- 
conducting material, e.g., any insulating material, that is not capable of carrying 
electric charge or current. Examples of materials usable as the base material for 
5 sensors of the present invention include polyesters, polyethylene (both high density 
and low density), polyethylene terephthalate, polycarbonate, vinyls, and the like. 
The base material can be treated with a primer or other such coating to improve the 
adhesion of the electrodes thereon. 

A tab 23' can be provided on the end of the working electrode 22 for 

1 0 easy connection of the electrode to external electronics (not shown) such as a voltage 
source or current measuring equipment. Contact pad 23, which is connected to 
working electrode 22, such as an extension from the working electrode, can be 
positioned on tab 23'. 

To prevent electrochemical reactions from occurring on portions of 

1 5 the working electrode not coated by the mediator, when a non-leachable mediator is 
used, a dielectric or other insulating material can be deposited on the electrode over, 
under, or surrounding the region with the redox mediator. Suitable dielectric 
materials include waxes and non-conducting organic polymers, such as 
polyethylene. The dielectric material can also cover a portion of the redox mediator 

20 on the electrode. The covered portion of the redox mediator will not contact the 
sample, and, therefore, will not be a part of the electrode's working surface. 

Sensing Chemistry 

In addition to the working electrode 22, sensing chemistry materials 
25 are provided in the sample chamber 26 for the analysis of the analyte. This sensing 
chemistry preferably includes a redox mediator and a second electron transfer 
mediator, although in some instances, one or the other may be used alone. The 
redox mediator and second electron transfer agent can be independently diffusible or 
non-leachable (i.e., non-diffusible) such that either or both may be diffusible or non- 
30 leachable. Placement of sensor chemistry components can depend on whether they 
are diffusible or non-leachable. For example, non-leachable and/or diffusible 
component(s) typically form a sensing layer on the working electrode. 



WO 01/33216 PCTAJSOO/29540 

13 

Alternatively, one or more diffusible components can be disposed on any surface in 
the sample chamber prior to the introduction of the sample. As another example, 
one or more diffusible component(s) are placed in the sample prior to introduction of 
the sample into the sensor, 
5 If the redox mediator is non-leachable, then the non-leachable redox 

mediator is typically disposed on the working electrode 22 as a sensing layer. In an 
embodiment having a redox mediator and a second electron transfer agent, if the 
redox mediator and second electron transfer agent are both non-leachable, then both 
of the non-leachable components are disposed on the working electrode 22 as a 
10 sensing layer. 

If, for example, the second electron transfer agent is diffusible and the 
redox mediator is non-leachable, then at least the redox mediator is disposed on the 
working electrode 22 as a sensing layer. The diffusible second electron transfer 
agent need not be disposed on a sensing layer of the working electrode, but can be 

1 5 disposed on any surface of the sample chamber, including within the redox mediator 
sensing layer, or can be placed in the sample. If the redox mediator is diffusible, 
then the redox mediator can be disposed on any surface of the sample chamber or 
can be placed in the sample. If both the redox mediator and second electron transfer 
agent are diffusible, then the diffusible components can be independently or jointly 

20 disposed on any surface of the sample chamber and/or placed in the sample (i.e., 
each diffusible component need not be disposed on the same surface of the sample 
chamber or placed in the sample). 

The redox mediator, whether it is diffusible or non-leachable, 
mediates a current between the working electrode 22 and the analyte and enables the 

25 electrochemical analysis of molecules that may not be suited for direct 

electrochemical reaction on an electrode. The mediator functions as an electron 
transfer agent between the electrode and the analyte. 

Analytes that can be interrogated include, for example, glucose, 
acetyl choline, amylase, bilirubin, cholesterol, chorionic gonadotropin, creatine 

30 kinase (e.g., CK-MB), creatine, DNA, fructosamine, glucose, glutamine, growth 
hormones, hormones, ketones, lactate, peroxide, prostate-specific antigen, 
prothrombin, RNA, thyroid stimulating hormone, and troponin. The concentration 



I 



WO 01/33216 PCT/US00/29540 

14 

of analytes such as drugs or medication, such as, for example, antibiotics (e.g., 
gentamicin, vancomycin, and the like), digitoxin, digoxin, drugs of abuse, 
theophylline, and warfarin, can also be determined. Assays suitable for determining 
the concentration of DNA and/or RNA are disclosed in U.S. Patent Applications 
5 Serial Nos. 09/138,888 and 09/145,776 and described in PCT Application 
PCT7US99/14460. 

Redox Mediators 

Although any organic or organometallic redox species can be used as 
1 0 a redox mediator, one type of suitable redox mediator is a transition metal compound 
or complex. Examples of suitable transition metal compounds or complexes include 
osmium, ruthenium, iron, and cobalt compounds or complexes. In these complexes, 
the transition metal is coordinatively bound to one or more ligands. The ligands are 
typically mono-, di-, tri-, or tetradentate. The most preferred ligands are 
1 5 heterocyclic nitrogen compounds, such as, for example, pyridine and/or imidazole 
derivatives. Multidentate ligands may include multiple pyridine and/or imidazole 
rings. Alternatively, metallocene derivatives, such as, for example, ferrocene, can be 
used. An example of one mediator is [Os(4-(N-(6- 
aminohexyI)aminobipyridine)(l,r-dimethyl-2,2 , -biimidazole) 2 ]Cl 3 . 
20 The redox mediators can be diffusible redox mediators or non- 

leachable redox mediators, such as non-leachable redox polymers. For additional 
information on redox mediators, see, for example, U.S. Patent Application Serial 
No. 09/295,962, filed April 21, 1999, and PCT published application WO 98/35225. 

25 Second Electron Transfer Agent 

In a preferred embodiment of the invention, the sensor includes a 
redox mediator and a second electron transfer agent which is capable of transferring 
electrons to or from the redox mediator and the analyte. The second electron 
transfer agent can be diffusible or can be non-leachable (e.g., entrapped in or 

30 coordinatively, covalently, or ionically bound to a redox polymer). One example of 
a suitable second electron transfer agent is an enzyme which catalyzes a reaction of 
the analyte. For example, a glucose oxidase or glucose dehydrogenase, such as 



WO 01/33216 PCT/US00/29540 

15 

pyrroloquinoline quinone glucose dehydrogenase (PQQ), is used when the analyte is 
glucose. A lactate oxidase fills this role when the analyte is lactate. Other enzymes 
can be used for other analytes. 

5 Counter Electrode 

Counter electrode 24, as illustrated in Figures 1 and 2, can be 
constructed in a manner similar to working electrode 22. Counter electrode 24 may 
also be a counter/reference electrode. Alternatively, a separate reference electrode 
may be provided in contact with the sample chamber. Suitable materials for the 

10 counter/reference or reference electrode include, for example, Ag/AgCl or Ag/AgBr 
printed on a non-conducting base material or silver chloride on a silver metal base. 
The same materials and methods may be used to make the counter electrode as are 
available for constructing the working electrode 22, although different materials and 
methods may also be used. Preferably, the counter or counter/reference electrode is 

15 printed on an insulating base material. A tab 25', on which contact pad 25 is 
disposed, can be provided for making convenient connection to the external 
electronics (not shown), such as a coulometer, potentiostat, or other measuring 
device. 

Optionally, a non-conductive filler material, such as a non-conductive 
20 ink, can be formed adjacent a counter electrode, or between multiple counter 

electrodes to provide a planar surface along the path of travel of the sample fluid in 
the sample chamber. The non-conductive filler material preferably creates a smooth 
surface to facilitate filling of the sample chamber by capillary action and/or for 
reducing the likelihood that air bubbles will become entrapped near the counter 
25 electrodes. This non-conductive material can be colored or colorless and may be 
formed on the substrate by printing or other techniques. The non-conductive 
material may be deposited prior to or subsequent to the formation of the counter 
electrode. In one embodiment, a non-conductive ink is used to fill in the area 
between multiple 12.3 micrometer (0.5 mil) thick counter electrodes. In another 
30 embodiment, a non-conductive ink is used to fill the area between multiple 6.4 

micrometer (0.25 mil) thick counter electrodes. Generally, no filler ink is needed for 



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thickness less about 6.4 micrometers, and in some sensor designs, no filler ink is 
needed for 6.4 micrometer thick counter electrodes. 

Electrode Configuration 

5 In one embodiment of the invention, working electrode 22 and 

counter electrode 24 are disposed opposite to and facing each other to form a facing 
electrode pair as depicted in Figures 1 and 2. In this preferred configuration, the 
sample chamber 26 is typically disposed between the two electrodes. For this facing 
electrode configuration, it is preferred that the electrodes are separated by a distance 

10 of no more than about 0.2 mm (e.g., at least one portion of the working electrode is 
separated from one portion of the counter electrode by no more than 200 (im), 
preferably no more than 100 |im, and most preferably no more than 50 |im. 

The electrodes need not be directly opposing each other; they may be 
slightly offset. Furthermore, the two electrodes need not be the same size. 

1 5 Preferably, the working electrode 22 extends the width of sensor 20 and counter 
electrode 24 is a portion or all of that width. Either of working electrode 22 or 
counter electrode 24 may include more than one electrode, such as shown in Figure 
4 (as counter electrodes 324, 344) and in Figure 5B (as counter electrodes 424, 441 , 
442). Counter electrode 24 can also be formed with tines in a comb shape. Other 

20 configurations of both the counter electrode and working electrode are within the 
scope of the invention. However, for this particular embodiment, the separation 
distance between at least one portion of the working electrode and some portion of 
the counter electrode preferably does not exceed the limits specified hereinabove. 

In another embodiment of the invention, the working and counter 

25 electrodes are coplanar. In this case, the sample chamber is in contact with both 
electrodes and is bounded on the side opposite the electrodes by a non-conducting 
inert base or substrate. Suitable materials for the inert base include non-conducting 
materials such as polyester. 

Other configurations of the inventive sensors are also possible. For 

30 example, the two electrodes can be formed on surfaces that make an angle to each 
other. One such configuration would have the electrodes on surfaces that form a 
right angle. Another possible configuration has the electrodes on a curved surface 



WO 01/33216 PCT/US00/29540 

17 

such as the interior of a tube. For example, the working and counter electrodes can 
be arranged so that they face each other from opposite sides of the tube. This is 
another example of a facing electrode pair. Alternatively, the electrodes can be 
placed near each other on the tube wall (e.g., one on top of the other or side-by-side). 
5 In any configuration, the two electrodes must be configured so that they do not make 
direct electrical contact with each other, to prevent shorting of the electrochemical 
sensor. 

Referring again to Figures 1 and 2, the electrodes 22, 24 extend from 
the sample chamber 26 to the other end of the sensor 20 as electrode extensions 

10 called 'traces". Each trace provides a contact pad 23, 25 for providing electrical 
connection to a meter or other device to allow for data and measurement collection, 
as will be described later. Preferably, each contact pad 23, 25 is positioned on a tab 
23', 25* that extends from each non-conducting base substrate 32, 34. In one 
embodiment, a tab has more than one contact pad positioned thereon. In a second 

15 embodiment, a single contact pad is used to provide a connection to one or more 
electrodes; that is, multiple electrodes are coupled together and are connected via 
one contact pad. 

A spacer 33 can be used to keep the electrodes apart when the 
electrodes face each other as depicted in Figures 1 and 2; spacer 33 is clearly seen in 

20 Figure 2. The spacer is typically constructed from an inert non-conducting material 
such as pressure-sensitive adhesive, polyester, Mylar™, Kevlar™ or any other 
strong, thin polymer film, or, alternatively, a thin polymer film such as a Teflon™ 
film, chosen for its chemical inertness. In addition to preventing contact between 
the electrodes, the spacer 33 can function as a portion of the boundary for the sample 

25 chamber 26. Other spacers include layers of adhesive and double-sided adhesive 

tape (e.g., a carrier film with adhesive on opposing sides of the film). Adhesive may 
be applied, for example by coating, onto a polymeric material to provide spacer 33. 

Sample Chamber 

30 The sample chamber 26 is typically defined by a combination of the 

electrodes 22, 24, the substrates 32, 34, and a spacer 33 as shown in Figures 1 and 2. 
A measurement zone is contained within this sample chamber and is the region of 



WO 01/33216 PCT7US00/29540 

18 

the sample chamber that contains only that portion of the sample that is interrogated 
during the analyte assay. In the embodiment of the invention illustrated in Figures 1 
and 2, sample chamber 26 is the space between the two electrodes 22, 24 and their 
non-conductive base substrates 32, 34, bounded by spacer 33. In this embodiment, 
5 the sample chamber has a volume that is preferably no more than about 1 (iL, more 
preferably no more than about 0.32 jiL, and still more preferably no more than about 
0.25 fiL. 

In the embodiment of the invention depicted in Figures 1 and 2, the 
measurement zone has a volume that is approximately equal to the volume of the 

10 sample chamber. In a preferred embodiment the measurement zone includes 80% of 
the sample chamber, 90% in a more preferred embodiment, and about 100% in a 
most preferred embodiment. 

In another embodiment of the invention, shown in Figure 3, sensor 
220 has a working electrode 222 on non-conducting substrate base 232, a counter 

1 5 electrode 224 on non-conducting substrate base 234, and a spacer 233 therebetween. 
A contact pad 223 extends from working electrode 222, and likewise, a contact pad 
225 extends from counter electrode 224. Sample chamber 226 (defined by base 232, 
234 and spacer 233) extends the length of sensor 220 and includes much more space 
than the region proximate electrodes 222, 224. In this embodiment, the 

20 measurement zone, corresponding to the region containing the portion of the sample 
which will be interrogated, is the portion of sample chamber 226 bounded by the 
working surface of the working electrode 222 and counter electrode 224. In this 
embodiment, the measurement zone has a volume that is preferably no more than 
about 1 |iL, more preferably no more than about 0.32 \xL, still more preferably no 

25 more than about 0.25 \iL t and most preferably no more than about 0.1 jiL of sample. 

In both of the embodiments discussed above, the thickness of the 
sample chamber and of the measurement zone correspond typically to the thickness 
of spacer 33, 233 (e.g., the distance between the electrodes in Figures 2 and 3, or the 
distance between the electrodes and the inert base in an embodiment where the 

30 electrodes are co-planar). The spacer can be, for example, an adhesive or double- 
sided adhesive tape or film. Examples of useable adhesives include urethanes, 



WO 01/33216 PCT/USOO/29540 

19 

acrylates, acrylics, latexes, rubbers, and other known adhesive materials. Preferably, 
this thickness is small to promote rapid electrolysis of the analyte, as more of the 
sample will be in contact with the electrode surface for a given sample volume. In 
addition, a thin sample chamber helps to reduce errors from diffusion of analyte into 
5 the measurement zone from other portions of the sample chamber during the analyte 
assay, because diffusion time is long relative to the measurement time. Typically, 
the thickness of the sample chamber is between about 50 and about 200 
micrometers. 

1 0 Sorbent Material 

The sample chamber can be empty before the sample is placed in the 
chamber, or, in some embodiments, the sample chamber can include a sorbent 
material (shown in Figure 3 as sorbent 50) to sorb and hold a fluid sample during the 
measurement process. Suitable sorbent materials include polyester, nylon, cellulose, 

15 and cellulose derivatives such as nitrocellulose. The sorbent material facilitates the 
uptake of small volume samples by a wicking action which can complement or, 
preferably, replace any capillary action of the sample chamber. In addition to or 
alternatively, a portion or the entirety of the wall of the sample chamber may be 
coated by a surfactant, which is intended to lower the surface tension of the fluid 

20 sample and improve fluid flow within the sample chamber. An example of a useable 
surfactant is available under the tradename "Zonyl FSO" from Dupont of 
Wilmington, DE. 

Methods other than the wicking action of a sorbent can be used to 
transport the sample into the sample chamber or measurement zone. Examples of 

25 such methods for transport include the application of pressure on a sample to push it 
into the sample chamber, the creation of a vacuum by a pump or other vacuum- 
producing method in the sample chamber to pull the sample into the chamber, 
capillary action due to interfacial tension of the sample with the walls of a thin 
sample chamber, as well as the wicking action of a sorbent material. 

30 The entire sensor assembly is held firmly together to ensure that the 

sample remains in contact with the electrodes and that the sample chamber and 
measurement zone maintain the same volume. This is an important consideration in 



WO 01/33216 PCT7US0O/29540 

20 

the coulometric analysis of a sample, where measurement of a defined sample 
volume is needed. 

Alternative Sensor Designs 

Figures 4 through 12 illustrate alternative sensor designs, both tip- 
5 filling and side-filling. Referring to Figure 4, a sensor 320 has a working electrode 
322, a counter electrode 324, a second counter electrode 344 (which may provide a 
fill indicator function, as described below), and a sample chamber 326 extending 
along at least a portion of the length of sensor 320 and optionally including a sorbent 
350. 

1 0 Figures 5 A through 5C illustrate three layers that when assembled, 

provide a preferred embodiment of a sensor. Figure 5A has a working electrode 422 
on substrate 432. Working electrode 422 has a trace 453 extending from sample 
chamber 426 to tab 423* on which is contact pad 423; contact pad 423 connects the 
sensor to a meter or other measurement equipment. Figure 5B, (inverted with 

15 respect to Figure 5 A to show the electrode side up), has a counter electrode 424 on 
substrate 434, and also includes a first indicator electrode 441 and a second indicator 
electrode 442. Counter electrode 424 has a trace 454, first indicator electrode 441 
has trace 451, and second indicator electrode 442 has trace 452, that end at contact 
pads 425, 443, 444, respectively, on tab 425'. Spacer 433 in Figure 5C defines 

20 sample chamber 426 and provides spacing between the electrodes when the two 
substrates 432, 434 are positioned opposite and facing one another. 

Figures 6A through 6C also illustrate three layers that, when 
assembled, provide a sensor. In Figure 6A, a working electrode 502 is formed on 
first substrate 500. The working electrode 502 includes a contact pad 503 for 

25 connection with external electronics; this contact pad 503 is connected to working 
electrode 502 by trace 552. A spacer 504, shown in Figure 6B, such as a layer of 
adhesive or a double-sided tape defines a channel 506 to produce a sample chamber 
for the sensor. Two counter (or counter/reference) electrodes 510, 512 are formed 
on a second substrate 508, as shown in Figure 6C (inverted with respect to Figure 

30 6 A to show the electrode side up). This multiple counter electrode arrangement can 
provide a fill indicator function, using counter electrode 5 12, as described below. 



WO 01/33216 PCT/US00/29540 

21 

Each counter electrode 510, 512 has a contact region or pad 51 1, 513 for connection 
with external electronics; these contact pads 5 1 1 , 5 1 3 are connected to counter 
electrodes 5 10, 5 12 by traces 551, 553. The second substrate 508 is inverted and 
placed over the first substrate 500, with the spacer 504 between, so that the working 
5 electrode 502 and the two counter electrodes 510, 512 are facing in the region of the 
channel 506. 

In some instances, the counter electrode 510 nearest an entrance 514 
(Figure 6B) of the channel 506 has a surface area within the sample chamber that is 
at least two times larger than the other counter electrode 512, and may be at least 

1 0 five or ten times larger. The non-leachable or diffusible redox mediator and/or 

second electron transfer agent can be provided on either the first or second substrates 
500, 508 in a region corresponding to the channel 506, as described above. 

The working electrode and counter electrodes can be formed to cover 
the entire channel region (except for a small space between the two counter 

1 5 electrodes). In this embodiment, the sample chamber and measurement zone are 
effectively the same and have the same volume. In other embodiments, the 
measurement zone has, for example, 80% or 90% of the volume of the sample 
chamber. It will be understood that similar sensors could be made using one counter 
electrode or three or more counter electrodes. It will also be understood that multiple 

20 working electrodes may also be provided on the sensor. 

Figures 7A, 7B and 7C illustrate a side-filling sensor arrangement. 
Figure 7 A shows a first substrate 520 with a working electrode 522. Figure 7B 
illustrates a spacer 524 defining a channel 526. Figure 7C (inverted with respect to 
Figure 7A and 7B) illustrate a second substrate 528 with three counter (or 

25 counter/reference) electrodes 530, 532, 534. This multiple counter electrode 
arrangement can provide a fill indicator function, as described below. An 
indentation 536, 538 or recessed or indented portion can be formed at either edge of 
the opening to channel 526 to facilitate the drawing of fluid into the sensor. This 
configuration can aid in wicking or capillary filling of the channel (i.e., sample 

30 chamber). This configuration can also reduce the likelihood that the user will 

inadvertently block the channel during collection of the sample, which could occur 
by pressing the tip of the sensor edgewise against the skin. 



WO 01/33216 PCT/US00/29540 

22 

Figures 8 A, 8B, and 8C illustrate another example of a side-filling 
sensor arrangement. Figure 8A illustrates a first substrate 540 with a working 
electrode 542. Figure 8B illustrates a spacer 544 defining a channel 546. Figure 8C 
(inverted with respect to Figures 8A and 8B) illustrates a second substrate 548 with 
5 three counter (or counter/reference) electrodes 550, 552, 554. 

Figures 9A, 9B, and 9C illustrate another example of a tip-filling 
sensor arrangement. Figure 9A illustrates a first substrate 560 with a working 
electrode 562. Figure 9B illustrates a spacer 564 defining a channel 566. Figure 9C 
(inverted with respect to Figures 9A and 9B) illustrates a second thin film substrate 

10 568 with two counter (or counter/reference) electrodes 570, 572. This multiple 
counter electrode arrangement can provide a fill indicator function, as described 
below. A vent hole 574 (indicated as a shaded region in Figure 9C) is provided 
through the second substrate. In the illustrated embodiment, this vent hole 574 is 
made through only the substrate 568 that carries the counter electrode(s) and, 

15 optionally, the spacer 564. In this embodiment, the vent hole can be formed by, for 
example, die cutting a portion of the substrate. This die cut can remove a portion of 
at least one counter electrode, but a sufficient amount of the counter electrode should 
remain for contact with the sample in the channel and for electrical connection to a 
contact at the other end of the sensor. In another embodiment, the vent hole 574 can 

20 be made through all of the layers or through the first substrate and not the second 
substrate. 

Another embodiment is illustrated in Figures 10A, 10B, and 10C, 
with a different shape. This sensor includes a first substrate 579 with at least one 
working electrode 580, as illustrated in Figure 10A. The sensor also includes a 

25 spacer 581 with a channel 582 formed in the spacer 581, as shown in Figure 10B. 
The sensor further includes a second substrate 583 with two counter electrodes 584, 
585, as shown in Figure 10C (inverted with respect to Figures 10A and 10B). A 
venting aperture 586 is cut typically through all of the layers and extends from a side 
of the sensor. In some embodiments, the venting aperture and the front portion 587 

30 of the sensor are simultaneously cut with a reproducible distance between the 

venting aperture and the front portion 587 of the sensor to provide a reproducible 
length for the channel 582 and the working electrode 580. This tip-filling sensor 



WO 01/33216 PCT/US00/29540 

23 

arrangement optionally includes an indentation 588 or recessed or indented portion 
that can be formed at the filling opening of the channel 582 to facilitate the drawing 
of fluid into the sensor. 

Figures 1 1 A, 1 IB, and 1 1C illustrate another example of a side- 
5 filling sensor arrangement. Figure 1 1 A illustrates a first substrate 640 with a 

working electrode 642. Figure 1 IB illustrates a spacer 644 defining a channel 646. 
Figure 1 1C (inverted with respect to Figures 1 1 A and 1 IB) illustrates a second 
substrate 648 with three counter (or counter/reference) electrodes 650, 652, 654. 
This multiple counter electrode arrangement can provide a fill indicator function, as 

1 0 described below. The length of the channel 646 is typically defined by the two 
parallel cuts along the sides 656, 658 of the sensors. 

Because of the straight sides, these sensors (and also those shown in 
Figures 1, 2 and 5) can be manufactured adjacent to one another, as illustrated in 
Figure 13 A. Such positioning during manufacture produces less waste material. 

15 Another optional processing advantage of the adjacent sensor manufacturing process 
is that the redox mediator and/or second electron transfer agent can be readily 
disposed in the channel by striping a continuous stream of these components along a 
row or column of adjacent sensors. This can result in better efficiency and less 
waste of expensive reagents such as the redox mediator and/or second electron 

20 transfer agent, as compared to other techniques, such as individually placing these 
components within the individual channels. 

Figures 12A, 12B, and 12C illustrate another sensor configuration. 
This sensor includes a first substrate 600 with at least one working electrode 602, as 
illustrated in Figure 12A. The sensor also includes a spacer 604 with a channel 606 

25 formed in the spacer 604, as shown in Figure 12B. The sensor further includes a 
second substrate 608 with two counter electrodes 610, 612, as shown in Figure 12C 
(inverted with respect to Figures 12A and 12B). This multiple counter electrode 
arrangement may provide a fill indicator function, as described below. The sensor 
can also include, for example, an indicator, such as a slot 614 or an extension 616 

30 from the body of the sensor that indicates to the user which side of the sensor should 
be placed adjacent to the sample. Surface printing can also or alternatively be 
applied to the sensor to act as an indicator. Some indication mechanism can be 



WO 01/33216 PCT/US00/29540 

24 

particularly important where the sensor reading is only correct when the sample 
enters from a particular side. 

Multiple Electrode Sensors and Calibration Thereof 

5 Multiple electrode sensors can be used for a variety of reasons. For 

example, multiple electrodes can be used to test a variety of analytes using a single 
sample. One embodiment with multiple electrodes has one or more sample 
chambers, each of which contains one or more working electrodes, with each 
working electrode defining a different measurement zone. If the redox mediator is 

1 0 non-leachable, one or more of the working electrodes can have the appropriate 

chemical reagents, for example, an appropriate enzyme, to test a first analyte and one 
or more of the remaining working electrodes can have the appropriate chemical 
reagents to test a second analyte, and so on. For example, a multiple electrode 
sensor might include a working electrode having glucose oxidase disposed thereon 

15 to determine glucose concentration and another working electrode can have lactate 
oxidase disposed thereon to determine lactate concentration. 

Multiple electrodes could also be used to improve the precision of the 
resulting readings. The measurements from each of the working electrodes (all of 
which are detecting the same analyte) can be averaged or otherwise combined 

20 together to obtain a more precise or reliable reading. In some cases, measurements 
could be rejected if the difference between the value and the average exceeds a 
threshold limit. This threshold limit could be, for example, determined based on a 
statistical parameter, such as the standard deviation of the averaged measurements. 
The average could then be recalculated while omitting the rejected values. In 

25 addition to using multiple electrode sensors to increase precision, multiple 

measurements could be made at each electrode and averaged together to increase 
precision. This technique could also be used with a single electrode sensor to 
increase precision. 

One example of a multiple electrode sensor that can be used to 

30 accurately determine the volume of the measurement zones of the electrode pairs and 
that is also useful in reducing noise is presented herein. In this example, one of the 
working electrodes is prepared with a non-leachable redox mediator and a non- 



WO 01/332 16 PCT/USOO/29540 

25 

leachable second electron transfer agent (e.g., an enzyme). Another working 
electrode includes non-leachable redox mediator, but no second electron transfer 
agent on the electrode. An optional third working electrode has no redox mediator 
and no second electron transfer agent bound to the electrode. A similar 
5 configuration can be constructed using diffusible redox mediator and/or diffusible 
second electron transfer agent although diffusible components are not limited to 
being disposed on the working electrode. Preferably, the distance between the 
working electrodes is sufficient that redox mediator and/or enzyme do not 
substantially diffuse between electrodes within the measurement period (e.g., in the 

10 time period from introduction of the same sample into the sample chamber to the 
end of the measurement). 

The sensor error caused by the redox mediator being in a non-uniform 
oxidation state prior to the introduction of the sample can be measured by 
concurrently electrolyzing the sample in the measurement zones that are proximate 

15 working and counter electrodes. At the first working electrode, the analyte is 
electrolyzed to provide the sample signal. At the second working electrode, the 
analyte is not electrolyzed because of the absence of the second electron transfer 
agent (assuming that a second electron transfer agent is necessary). However, a 
charge will pass (and a current will flow) due to the electrolysis of the redox 

20 mediator that was in a mixed oxidation state (i.e., some redox centers in the reduced 
state and some in the oxidized state) prior to the introduction of the sample and/or 
. the shuttling of a diffusible redox mediator between the working electrode and the 
counter electrode. The small charge passed using this second working electrode can 
be subtracted from the charge passed using the first electrode pair to substantially 

25 remove the error due to the oxidation state of the redox mediator and/or to remove 
the background current caused by a diffusible redox mediator. This procedure also 
reduces the error associated with other electrolyzed interferents, such as ascorbate, 
urate, and acetaminophen, as well as errors associated with capacitive charging and 
faradaic currents. 

30 The thickness of the sample chamber can be determined by 

measuring the capacitance, preferably in the absence of any fluid, between an 
electrode and its corresponding counter electrode. The capacitance of an electrode 



W0 01/33216 PCT/US00/29540 

26 

pair depends on the surface area of the electrodes, the interelectrode spacing, and the 
dielectric constant of the material between the plates. The dielectric constant of air 
is unity which typically means that the capacitance of this electrode configuration is 
a few picofarads (or about 100-1000 picofarads if there is fluid between the 
5 electrode and counter electrode given that the dielectric constant for most biological 
fluids is approximately 75). Thus, since the surface area of the electrodes are 
known, measurement of the capacitance of the electrode pair allows for the 
determination of the thickness of the measurement zone to within about 1-5%. 

Other electrode configurations can also use these techniques (i.e., 
1 0 capacitance measurements and coulometric measurements in the absence of a critical 
component) to reduce background noise and error due to interferents and imprecise 
knowledge of the volume of the interrogated sample. Protocols involving one or 
more working electrode(s) and counter electrode(s) and one or more of the 
measurements described above can be developed and are within the scope of the 
1 5 invention. For example, only one electrode pair is needed for the capacitance 
measurements, however, additional electrodes can be used for convenience. 



Fill Indicator 

When using a sample chamber that is filled with 1 or less of fluid, 
20 it is often desirable to be able to determine when the sample chamber is filled. 
Figures 6A through 6C illustrate a sensor having a fill indicator structure. In 
particular, Figure 6A illustrates a first substrate 500 upon which a working electrode 
502 is printed. A spacer 504 (Figure 6B), such as, for example, a layer of adhesive 
or a double-sided tape, is formed over the first substrate 500 and working electrode 
25 502 with a channel 506 formed in the layer to provide a sample chamber. A second 
substrate 508 is printed with two counter electrodes 510, 512, as shown in Figure 6C 
(inverted with respect to Figures 6A and 6B to show the electrode side up). 
Preferably, the counter electrode 510 nearest an entrance 514 of the channel 506 has 
a surface area within the sample chamber that is at least two times larger than the 
30 other counter electrode 5 1 2, and preferably at least five or ten times larger. 

The sensor can be indicated as filled, or substantially filled, by 
observing a signal between the second counter electrode 512 and the working 



WO 01/33216 PCTYUS00/29540 

27 

electrode 502 as the sensor fills with fluid. When fluid reaches the second counter 
electrode 512, the signal from that counter electrode will change. Suitable signals 
for observing include, for example, voltage, current, resistance, impedance, or 
capacitance between the second counter electrode 512 and the working electrode 
5 502. Alternatively, the sensor can be observed after filling to determine if a value of 
the signal (e.g., voltage, current, resistance, impedance, or capacitance) has been 
reached indicating that the sample chamber is filled. 

In alternative embodiments, the counter electrode or working 
electrode can be divided into two or more parts and the signals from the respective 

10 parts observed to determine whether the sensor has been filled. In one example, the 
working electrode is in a facing relationship with the counter electrode and the 
indicator electrode. In another example, the counter electrode, working electrode, 
and indicator electrode are not in a facing relationship, but are, for example, side-by- 
side. Typically, the indicator electrode is further downstream from a sample inlet 

1 5 port than the working electrode and counter electrode. 

For side-fill sensors, such as those illustrated in Figures 5, 7, 8 and 
1 1, an indicator electrode can be disposed on each side of the primary counter 
electrode. This permits the user to fill the sample chamber from either the left or 
right side with an indicator electrode disposed further upstream. This three- 

20 electrode configuration is not necessary. Side-fill sensors can also have a single 
indicator electrode and, preferably, some indication as to which side should be 
placed in contact with the sample fluid. 

Alternately or additionally, two indicator electrodes, used in 
combination with one counter/reference electrode, detect when the sample chamber 

25 begins to fill and when the sample chamber has been filled to prevent partial filling 
of the sample chamber. The two indicator electrodes are optionally held at a 
different potential than the counter/reference electrode. The start and completion of 
filling of the sample chamber is indicated by the flow of current between the 
indicator and counter/reference electrodes. 

30 In other instances, the potential of each of the counter/reference 

electrodes may be the same. When the potential at all three counter/reference 
electrodes is the same, for example, 0 volts, then as the measurement zone begins to 



WO 01/33216 PCT/US00/29540 

28 

fill, the fluid allows for electrical current flowt between a working electrode and the 
first counter/reference electrode, causing a current at the first counter/reference 
electrode due to the reaction of the analyte with the enzyme and the mediator. When 
the fluid reaches the third counter/reference electrode, another current may be 
5 measured similar to the first counter/reference electrode indicating that the 
measurement zone is full. When the measurement zone is full, the three 
counter/reference electrodes are optionally shorted together or their signals can be 
added or otherwise combined. 

The indicator electrode can also be used to improve the precision of 

10 the analyte measurements. The indicator electrode may operate as a working 
electrode or as a counter electrode or counter/reference electrode. In the 
embodiment of Figures 6 A through 6C, the indicator electrode 512 can act as a 
second counter or counter/reference electrode with respect to the working electrode 
502. Measurements from the indicator electrode/working electrode can be combined 

1 5 (for example, added or averaged) with those from the first counter/reference 
electrode/working electrode to obtain more accurate measurements. In one 
embodiment, the indicator electrode operates as a second working electrode with the 
counter electrode or counter/reference electrode. In another embodiment, the 
indicator electrode operates as a second working electrode with a second counter 

20 electrode or counter/reference electrode. In still another embodiment, the indicator 
electrode operates as a second counter electrode or counter/reference electrode with 
a second working electrode. 

The sensor or a sensor reader can include a sign (e.g., a visual sign or 
auditory signal) that is activated in response to the indicator electrode to alert the 

25 user that the measurement zone has been filled. The sensor or a sensor reader can be 
configured to initiate a reading when the indicator electrode indicates that the 
measurement zone has been filled with or without alerting the user The reading can 
be initiated, for example, by applying a potential between the working electrode and 
the counter electrode and beginning to monitor the signals generated at the working 

30 electrode. 



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29 

General Method for Manufacturing Sensors 

Referring now to Figures 13A and 13B, one example of a method for 
making thin film sensors is described with respect to the sensor arrangement 
displayed in Figures 5A through 5C, although this method can be used to make a 
5 variety of other sensor arrangements, including those described before. When the 
three layers of Figures 5 A through 5C are assembled, a sensor 420 is formed. 

In Figures 13A and 13B, a substrate 1000, such as a plastic substrate, 
is moving in the direction indicated by the arrow. The substrate 1000 can be an 
individual sheet or a continuous roll on a web. Multiple sensors 420 can be formed 

10 on a substrate 1000 as sections 1022 that have working electrodes 422 (Figure 5 A) 
thereon and sections 1024 that have counter electrode 424 and indicator electrodes 
441, 442 (Figure 5B). These working, counter and indicator electrodes are 
electrically connected to their corresponding traces and contact pads. Typically, 
working electrode sections 1022 are produced on one half of substrate 1000 and 

15 counter electrode sections 1024 are produce on the other half of substrate 1000. In 
some embodiments, the substrate 1000 can be scored and folded to bring the sections 
1022, 1024 together to form the sensor. In some embodiments, as illustrated in 
Figure 13 A, the individual working electrode sections 1022 can be formed next to or 
adjacent each other on the substrate 1000, to reduce waste material. Similarly, 

20 individual counter electrode sections 1024 can be formed next to or adjacent each 
other. In other embodiments, the individual working electrode sections 1022 (and, 
similarly, the counter electrode sections 1024) can be spaced apart, as illustrated in 
Figure 13B. The remainder of the process is described for the manufacture of 
multiple sensors, but can be readily modified to form individual sensors. 

25 Carbon or other electrode material (e.g., metal, such as gold or 

platinum) is formed on the substrate 1000 to provide a working electrode 422 for 
each sensor. The carbon or other electrode material can be deposited by a variety of 
methods including printing a carbon or metal ink, vapor deposition, and other 
methods. The printing may be done by screen printing, gravure roll printing, 

30 transfer printing, and other known printing methods. Trace 453 and contact pad 423 
are preferably applied together with working electrode 422, but may be applied in a 
subsequent step. 



WO 01/33216 PCT/US00/29540 

30 

Similar to the working electrode 422, the counter electrode(s) 424, 
441, 442 (shown in Figure 5B) are formed on the substrate 1000. The counter 
electrodes are formed by providing carbon or other conductive electrode material on 
the substrate. In one embodiment, the material used for the counter electrode(s) is a 
5 Ag/AgCl ink. The material of the counter electrode(s) may be deposited by a variety 
of methods including printing or vapor deposition. The printing may be done by 
screen printing, gravure roll printing, transfer printing, and other known printing 
methods. Traces 454, 45 1, 452 and contact pads 425, 443, 444 are preferably 
applied together with counter electrodes 424, 441, 442, but may be applied in a 

10 subsequent step. 

Preferably, multiple sensors 420 are manufactured simultaneously; 
that is, the working electrodes, including their traces and contact pads, for a plurality 
of sensors are produced (e.g., printed) on a polymer sheet or web, and 
simultaneously or subsequently, the counter electrodes, and their traces and contact 

15 pads, for a plurality of sensors are produced (e.g., printed). The working electrode(s) 
and counter electrode(s) can be formed on separate substrates that are later 
positioned opposite one another so that the electrodes face each other. Alternately, 
to simplify registration of the substrates, the working electrodes can be formed on a 
first half of a substrate sheet of web and the counter electrodes are formed on a 

20 second half of the substrate sheet or web so that the sheet or web can be folded to 
superimpose the working and counter electrodes in a facing arrangement. 

To provide a sample chamber 426, a spacer 433 is formed over at 
least one of the substrate/working electrode and substrate/counter electrode(s). The 
spacer 433 is preferably an adhesive spacer, such as a single layer of adhesive or a 

25 double-sided adhesive tape (e.g., a polymer carrier film with adhesive disposed on 
opposing surfaces). Suitable spacer materials include adhesives such as urethanes, 
acrylates, acrylics, latexes, rubbers and the like. 

A channel, which will result in the sample chamber, is provided in the 
spacer 433, either by cutting out a portion of the adhesive spacer or placing two 

30 adhesive pieces in close proximity but having a gap therebetween. The adhesive can 
be printed or otherwise disposed on the substrate according to a pattern which 
defines the channel region. The adhesive spacer can be optionally provided with one 



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.31 

or more release liners prior to its incorporation into the sensor. The adhesive can be 
cut (e.g., die-cut or slit) to remove the portion of the adhesive corresponding to the 
channel prior to disposing the spacer on the substrate. 

In one method of the invention, illustrated in Figures 14A through 
5 14G, the adhesive includes a first and a second release liner. Prior to applying the 
adhesive to a first substrate/working electrode or substrate/counter electrode(s), the 
adhesive is "kiss-cut" through the first release liner and at least a portion of the 
underlying adhesive, preferably the entire adhesive but not through the second 
release liner, to form one or more sections, one of which will eventually result in a 

1 0 sample chamber. The first release liner is removed from the adhesive over its length 
but is retained over the sample chamber section. The exposed adhesive is then 
applied to the first substrate/working electrode or substrate/counter electrode(s). On 
removal of the second release liner, the adhesive positioned within the sample 
chamber sections is also removed, leaving a channel or opening in the adhesive 

1 5 spacer. The second substrate/working electrode or substrate/counter electrode(s) is 
then applied to the adhesive to form the layered sensor structure. 

Figures 14A through 14G describe in detail the processing of an 
adhesive layer by a u kiss-cut". An adhesive layer that will eventually become spacer 
433 is preferably obtained from an adhesive structure including an adhesive layer 

20 1030 between a first release liner 1020 and a second release liner 1040. A blade 
(e.g., a knife or die blade) cuts through the first release liner 1020 and at least a 
portion of the adhesive layer 1030, but not through the second release liner 1040, as 
shown in Figure 14B and 14G, to form release liner sections 1020a, 1020b, and 
adhesive sections 1030a, 1030b. The space occupied by 1030b is the area that will 

25 result in the sample chamber of the sensor and can be referred to as "sample 

chamber region". A cut configuration such as shown in Figure 14G allows removal 
of one release liner section 1030a, leaving behind release liner section 1030b. The 
liner could be cut to provide individual strips extending the entire length of the liner; 
this would then need removal of each individual liner strip. 

30 The release liner section 1030a is removed to provide the adhesive 

configuration shown in Figures 14C. The exposed adhesive is positioned over and 
securely adhered to the substrate 1050, as illustrated in Figure 14D. The adhesive 



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PCT/US00/29540 

32 

sections 1030a without the release liner will adhere to the substrate 1050. As shown 
in Figure 14E, the second release liner 1040 is removed, pulling the cut and non- 
adhered section of adhesive 1030b and the first liner 1020b with it; this results in 
adhesive areas 1030a providing spacer layer sections 433a, 433b, with sample 
5 chamber 426 therebetween, as illustrated in Figure 14F. The second substrate is 
then positioned over the adhesive layer and laminated to the first substrate via the. 
spacer 433. The thickness of the spacer 433 typically determines the spacing 
between the working and counter electrodes, and thus impacts the volume of the 
sample chamber 426. Preferably, the thickness does not vary more than + 5% over 
1 0 the individual sensor and/or among individual sensors in a batch. Use of the "kiss- 
cut" method for manufacturing the layered sensor structure preserves the integrity of 
the sample chamber walls during manufacturing, thereby providing for more reliable 
and reproducible sample chamber volumes. 

The non-leachable or diffusible redox mediator and/or second 
1 5 electron transfer agent are disposed onto the substrate in at least the sample chamber 
regions. If either or both of these components is non-leachable, that component or 
components is preferably disposed on the working electrode. If either or both of 
these components is diffusible, that component or components can be disposed on 
any surface of the substrate in the channel region. The redox mediator and/or second 
20 electrode transfer agent can be disposed independently or together on the substrate 
prior to or after disposition of the spacer. The redox mediator and/or second 
electrode transfer agent may be disposed by a variety of methods including, for 
example, screen printing, ink jet printing, spraying, painting, striping along a row or 
column of aligned and/or adjacent electrodes, and the like. Other components can be 
25 deposited separately or together with the redox mediator and/or second electrode 
transfer agent; these components can include, for example, surfactants, polymers, 
polymer films, preservatives, binders, buffers, and cross-linkers. 

After disposing the spacer, redox mediator, second electron transfer 
agent, sensing layers, and the like, the first and second substrates (having the 
30 working and counter electrodes thereon) are positioned opposite each other to form 
the sensor. The faces of the substrate are joined by the adhesive of the spacer. 
Preferably, after bringing the faces together, individual sensors are cut out from the 



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33 

web of sensors using a variety of methods including, for example, die cutting, 
slitting, or otherwise cutting away the excess substrate material and separating the 
individual sensors. In some embodiments, a combination of cutting or slitting 
methods is used. As another alternative, the individual sensor components can first 
5 be cut out of the substrates and then brought together to form the sensor by 
adhesively joining the two components, such as by using the spacer adhesive. 

The sides of the sensor can be straight to allow the sensor to be cut 
out from the remainder of the substrate and/or from other sensors by slitting the 
substrate in parallel directions using, for example, a gang arbor blade system. The 
10 edges of the sensor can define edges of the sample chamber and/or measurement 
zone. By accurately controlling the distance between cuts, variability in sample 
chamber volume can often be reduced. In some instances, these cuts are preferably 
parallel to each other, as parallel cuts are typically the easiest to reproduce. 

15 Sensor Connection to Electrical Device 

Referring generally now to Figures 16A and 16B, 17A and 17B, and 
18A and 1 8B, the assembled sensor of Figures 5 A through 5C (as will be referred to 
as sensor 1420) is typically coupled to a meter or other electrical device by electrical 
connector 1500 which is configured to couple with and contact the end of the sensor 

20 1420 at contact pads 423, 425, 443, 444. The sensor meter typically includes a 
potentiostat or other component to provide a potential and/or current for the 
electrodes of the sensor. The sensor reader also typically includes a processor (e.g., 
a microprocessor or hardware) for determining analyte concentration from the sensor 
signals. The sensor meter also includes a display or a port for coupling a display to 

25 the sensor. The display displays the sensor signals and/or results determined from 
the sensor signals including, for example, analyte concentration, rate of change of 
analyte concentration, and/or the exceeding of a threshold analyte concentration 
(indicating, for example, hypo- or hyperglycemia). 

One example of a suitable connector is shown in Figures 16A and 

30 16B, 17A and 17B, and 18A and 18B. Connector 1500 (which is used to connect a 
sensor to a meter or other electrical device) is generally a two part structure, having 
top portion 1510 and bottom portion 1520 (see Figure 16B). Positioned between 



i 



WO 01/33216 PCT/US00/2954O 

34 

and secured by top portion 1510 and bottom portion 1520 are contact leads 1423, 
1425, 1443, 1444 that provide electrical connection between the sensor 1420 and a 
meter. These leads 1423, 1425, 1443, 1444 have proximal ends to physically 
contact pads 423, 425, 443, 444 (in Figures 5A and 5B, respectively) and distal ends 
5 to connect to any attached meter. The end of the sensor 1420 which has the contact 
pads can be slid into or mated with the connector 1500 by placing the sensor 1420 
into slide area 1530, which provides a support for and retains sensor 1420. It is 
typically important that the contact structures of the connector 1500 make electrical 
contact with the correct pads of the sensor so that the working electrode and counter 

1 0 electrode(s) are correctly coupled to the meter. 

One optional feature is an insertion monitor 1450, that is illustrated in 
Figures 16A and 16B, which are top views of the sensor prior to insertion into 
connector 1500. This conductive insertion monitor is positioned on the non- 
conductive base substrate and has a contact pad for electrical contact with a 

1 5 connector. The insertion monitor is configured and arranged to close an electrical 
circuit between two contact structures 1451 and 1452 when the sensor is properly 
inserted into the connector. Proper insertion into the connector 1500 means that the 
sensor strip 1420 is inserted right side up, that the correct end of the strip is inserted 
into the connector, and that the strip is inserted far enough into the connector that 

20 reliable electrical connections are made between the electrodes' contact pads on the 
strip and the corresponding contact structures of the connector. Preferably, no 
closed circuit is made unless all electrode pads have properly contacted the contact 
structures of connector 1 500. The insertion monitor may have shapes other than a 
stripe across the width of the sensor; for example, other designs include an 

25 individual dot, a grid pattern, or may include stylistic features, such as words or 
letters. 

Because this insertion monitor 1450 is not at the end with the contact 
regions for the electrodes, the insertion monitor 1450 does not require additional 
width space on the sensor. The width of the contact pads 443, 425, 444, 423 is 
30 defined as the width on which a lead could be placed that would result in an 

electrical connection; typically, the contact width is the width of the exposed contact 
area. In one embodiment, six contact lead structures on the connector (i.e., 1451, 



WO 01/33216 PCT/US00/29540 

35 

1443, 1425, 1444, 1423, 1452) can contact sensor 1420 in the same width as the four 
contact pads (i.e., 443, 425, 444, 423). This concept of having contact points on the 
sensor that occupy more width than the width of the sensor may be used for any 
number of contact points; this may be used with or without an insertion monitor. 
5 As a particular example, four leads 1443, 1425, 1444, 1423 make 

contact with contact pads 443, 425, 444, 423. If each lead and/or contact pad is one 
millimeter wide, a sensor of at least 4 mm wide is needed to make contact. 
Additional leads, such as those for insertion monitor 1450 (i.e., contact leads 1451, 
1452), can make contact by having leads 1451, 1452 extend along the side of leads 

10 1443 and 1423 and then angle in toward the center of the strip 1420 after the point 
where leads 1443, 1425, 1444, 1423 contact strip 1420. The insertion monitor stripe 
leads 1451, 1452 cross side edges of sensor 1420 to make contact with the sensor, 
thus not requiring additional sensor width. 

The contact structures are parallel and non-overlapping and they run 

15 longitudinally from the distal end to the proximal end. The lead structures 1443, 
1425, 1444, 1423 terminate at their proximal end, but lead structures 1451, 1452 
continue longitudinally past the proximal end of lead structures 1443, 1425, 1444, 
1423. Once past the proximal end, lead structures 1452, 1452 angle in toward the 
center of the sensor strip. 7 

20 The insertion monitor can also be used to encode information on a 

test strip. The encoded information can be, for example, calibration information for 
that manufacturing lot or for that specific strip. Such calibration information may 
relate to the sensitivity of the strip or to the y-intercept of its calibration curve. In 
one embodiment, the insertion monitor comprises two or more contact pads for 

25 connection to a meter. The two or more contact pads are connected to each other by 
a conductive material, such as a conductive ink. The resistance of conductive path 
between the two or more contact pads is related to the encoded information. As an 
example of discrete calibration values, resistance values in a given range can 
correspond to one calibration setting, and resistance values in a different range can 

30 correspond to a different calibration setting. As an example of continuous 
calibration values, the calibration setting may be a continuous function of the 



WO 01/33216 PCT/USOO/29540 

36 

resistance. Examples of suitable conductive pathways between contact pads are 
shown in Figures 19A through 19L. 

In Figures 19A-19F, multiple conductive pathways with different 
resistances are printed on the strip. The resistance of the pathway is varied by 
5 cutting or scoring some or all of the conductive pathways so that they do not cany 
charge. In Figures 19G-19L, the resistance is controlled by the width or length of 
the conductive path. While it is preferred to provide this encoded information on the 
insertion monitor, it should be recognized that the insertion monitor function and the 
encoding of information can also be implemented separately using separate 

10 conductive traces on the strip. 

In another embodiment to ensure proper insertion of a sensor into a 
meter, the meter may include a raised area or bump that prevents or hinders the 
insertion of the sensor in an improper direction, as shown in Figure 20. To ensure 
proper insertion of the sensor 1 100 into a connector 1110, the connector 1110 may 

1 5 include a raised area 1 140 that prevents or hinders the insertion of the sensor in an 
improper direction. For example, the width, w2, of the contact region of the second 
substrate 1130 may be wider than the width, wl , of the contact region of the first 
substrate 1 120. In this instance, the raised area 1 140 is positioned to allow sensor 
1 100 to be slid into the connector so that the first substrate 1 120 is next to the 

20 surface 1 150 from which the raised area 1 1 40 protrudes, but would prevent or hinder 
having the second substrate 1 130 next to the surface 1 150 from which the raised area 
1 140 protrudes. Objects other than a raised area can also be used to guide the user in 
correct introduction of the sensor into the meter. 

25 Integrated Sample Acquisition and Analyte Measurement Device 

An analyte measurement device constructed according to the 
principles of the present invention typically includes a sensor, as described 
hereinabove, combined with a sample acquisition apparatus to provide an integrated 
sampling and measurement device. The sample acquisition apparatus typically 
30 includes, for example, a skin piercing member, such as a lancet, that can be injected 
into a patient's skin to cause blood flow. In a preferred embodiment, the integrated 
sample acquisition and analyte measurement device comprises a lancing instrument 



WO 01/33216 PCTAJS00/29540 

37 

that holds a lancet and measurement strip. The lancing instrument preferably 
requires active cocking. By requiring the user to cock the device prior to use, the 
risk of inadvertently triggering the lancet is minimized. Preferably, the lancing 
instrument will also permit the user to adjust the depth of penetration of the lancet 
5 into the skin. Such devices are already commercially available from companies such 
as Boehringer Mannheim and Palco. This feature allows users to adjust the lancing 
device for differences in skin thickness, skin durability, and pain sensitivity across 
different sites on the body and across different users. 

Typically, a larger sample of body fluid such as blood or interstitial 

1 0 fluid is expressed when pressure is applied around a site where a hole has been 
created the skin. A sample acquisition device having a protruding ring, such as 
illustrated in Figure 21, may be used. Ring 1200 circumferentially surrounds the 
lancing site to create increased pressure and extract a larger sample out of the 
wound. A lancet would protrude from the center 1220 of ring 1200. Ring 1200 has 

15 a surface area 1210 that presses against the skin, thus increasing the tension on the 
skin and often providing a bump of skin. Skin that is more taught, and even 
extended, provides a large volume of fluid from the wound. The increased surface 
area 1210 and tighter skin provided by ring 1200, decreases the amount of pain 
experienced by the patient during the lancing. Further, the tendency to bruise is 

20 typically decreased. 

In one embodiment, the lancing instrument and the meter are 
integrated into a single device. To operate the device the user need only insert a 
disposable cartridge containing a measurement sensor and lancing device into the 
integrated device, cock the lancing instrument, press it against the skin to activate it, 

25 and read the result of the measurement. Such an integrated lancing instrument and 
test reader simplifies the testing procedure for the user and minimizes the handling 
of body fluids. 

Operation of the Sensor and Meter 

30 An electrochemical sensor of the invention can be operated with or 

without applying a potential across the electrodes. In one embodiment, the 
electrochemical reaction occurs spontaneously and a potential need not be applied 



WO 01/33216 PCT/USOO/29540 

38 

between the working and counter electrodes. In another embodiment, a potential, 
which may or may not remain constant, is applied between the working and counter 
electrodes. The magnitude of the required potential depends on the redox mediator 
used. The potential at which the electrode poises itself, or where it is poised by 
5 applying an external bias, and where the analyte is electrolyzed, is typically such that 
the electrochemical reaction is driven to or near completion, but it is, preferably, not 
oxidizing enough to result in significant electrochemical reaction of interferents, 
such as urate, ascorbate, and acetaminophen, that can affect the signal measured. 
For non-leachable redox mediators, the potential is typically between about -350 mV 
10 and about +400 mV versus the standard calomel electrode (SCE). Preferably, the 
potential of the redox mediator is more negative than +100 mV, more preferably the 
potential is more negative than 0 mV, and most preferably the potential is about - 
150 mV versus SCE. 

When an external potential is applied, it can be applied either before 
1 5 or after the sample has been placed in the sample chamber. If the measurement zone 
includes only a portion of the sample chamber then the potential is preferably 
applied after the sample has come to rest in the sample chamber to prevent 
electrolysis of sample passing through the measurement zone as the sample chamber 
is filling. Alternatively, in the case where the measurement zone includes most or 
20 all of the sample chamber, the potential can be applied before or during the filling of 
the sample chamber without affecting the accuracy of the assay. When the potential 
is applied and the sample is in the measurement zone, an electrical current will flow 
between the working electrode and the counter electrode. The current is a result, at 
least in part, of the electrolysis of the analyte in the sample. This electrochemical 
25 reaction occurs via the redox mediator and the optional second electron transfer 

agent. For many biomolecules, B, the process is described by the following reaction 
equations: 

nA(ox) + B enZyme > nA(red) + C (1) 



nA(red) >nA(ox) + ne" 



(2) 



WO 01/33216 PCT/US00/29540 

39 

Biochemical B is oxidized to C by redox mediator A in the presence of an 
appropriate enzyme. Then the redox mediator A is oxidized at the electrode. 
Electrons are collected by the electrode and the resulting current is measured. The 
measured current may also include a background current resulting in a measured 
5 background charge, due, at least in part, to the shuttling of a diffusible redox 

mediator between the working electrode and the counter electrode. This background 
current can be minimized or accounted for, as described in PCT Application 
PCT/US99/23425. 

A variety of techniques can be used to determine the concentration of 

10 an analyte in a sample. These techniques include, for example, coulometry, 

amperometry, and potentiometry. To determine the concentration of analyte (e.g., 
glucose) in the sample by coulometry, the charge passing or projected to pass 
between the working electrode(s) and counter electrode(s) during electrolysis of the 
analyte is determined. Knowledge of the charge and the volume of the sample 

1 5 chamber permit the calculation of the concentration of the electrolyzed analyte in the 
sample. This charge can be determined by several methods. 

For example, the charge can be measured directly. This can be 
accomplished using a coulometer and known coulometric techniques. Typically, the 
charge is measured during the complete or nearly complete electrolysis of the 

20 analyte. 

As another example, the charge can be determined from 
measurements of the electrolysis current, i u over time, t. A series of currents (i x , i x+1 , 
1^2, ...) is measured for a series of times (t x , t x+l , t^, ...). The current can then be 
integrated (e.g., numerically integrated using known numerical methods) to give the 

25 charge. In some instances, current can be measured during the entire electrolysis. In 
other instances, current can be extrapolated after a period of time and the charge 
determined using a combination of the measured currents and extrapolated currents. 

Extrapolation of current utilizes a projected relationship between 
current and time during at least a portion of the electrolysis. Typically, when the 

30 system is diffusion limited, the natural logarithm of the current is linearly related to 
the time. This typically occurs after a period of time during which the sensor 
"equilibrates 11 . Figure ISA is an example of a graph of current versus time for 



WO 01/33216 PCT/US0O/29540 

40 

electrolysis of an analyte, such as glucose, in one of the previously described 
sensors; Figure 15B is a graph of the natural logarithm of current versus time for the 
same data. After the sample completely fills the sample chamber, the current 
increases to a peak current value, designated as "P" in Figures 15A and 15B, during 
5 which time the sensor is equilibrating. The peak current typically occurs during a 
period of time in which the system is kinetically, rather than diffusionally, limited. 
Typically, the current then begins to decrease, although, in some instances, further 
increases may occur before the current becomes diffusion limited. Eventually, the 
current values enter a region, designated as "L" in Figure 15B, where there is a 

1 0 linear relationship between the natural logarithm of current and time. The remaining 
current needed to electrolyze a remaining portion of the analyte can then be 
extrapolated using estimation methods, such as nonlinear or, preferably, linear 
estimation methods (e.g., linear least squares techniques). The region where 
extrapolation occurs is designated as "E" in Figure 15B and the extrapolation is 

15 indicated as a solid line. 

For this discussion, the current values being referred to are the 
absolute value of the actual current, thus, the sign of the current measurement is 
ignored. For example, the peak current is the largest deviation from zero current, 
whether positive or negative. 

20 During the period when the system is diffusion limited the 

relationship between the natural logarithm of the current and time is linear. The 
remaining charge required to completely electrolyze the analyte remaining in the 
sample can be reliably estimated from the slope of this line. Care must be taken to 
ensure that the system is in the diffusion limited range before performing the 

25 estimation. One method of ensuring that the system is in the diffusion limited 
regime includes observing the current values until the peak current, i peakJ ("P") is 
achieved. Current values continue to be observed until the current drops below a 
threshold value, i^,,, that is typically a fraction of the peak current. For example, 
the threshold value can be one half, one third, or one quarter of the peak current 

30 (e.g., ithresh = j*i p eak where j is, for example, 0.5, 0.33, or 0.25). The threshold value is 
chosen based on the characteristics of the sensor so that one has a high degree of 
confidence that the system will be diffusion limited at this time. 



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Many other methods may be used to ensure that the system is in a 
diffusion limited regime. For example, one could observe the current values after 
ipeak un ti' 21X1 inflection point is reached and the second derivative of the natural log of 
the current turns positive. At this point the system is typically in a diffusion limited 
5 regime. 

After achieving the threshold value, slope values are determined 
using natural logarithms of two or more of the measured current values (e.g., m x = 
(log(i x )-log(i x . y ))/(t x - t x _ y ) where m x is the slope at time t x , i x is the current at time t x , 
and i x . y is the current at time before tj. Although the slope can be determined 

1 0 using natural logarithms of any two current values (e.g., current values measured one 
directly after the other), preferably the slope is determined using natural logarithms 
of multiple consecutive current values or current values that are spaced apart by at 
least about ten (i.e., y = 10), and, preferably, at least about thirty (i.e., y = 30), 
current values. This procedure can reduce the effect of random noise in the system. 

15 Optionally, the consistency of multiple slope values (e.g., three or five or ten slope 
values) can be observed for verification. For example, the system can look for ten 
monotonically decreasing slope values before accepting the slope value for use in 
the estimation. 

The determined slope value is used to extrapolate the charge required 
20 to completely electrolyze the analyte remaining in the sample. That is, the current is 
extrapolated to zero current. Known extrapolation techniques (e.g., linear 
extrapolation techniques) can be used. The total charge required to electrolyze the 
analyte is determined by adding the measured charge and extrapolated charge. 

Current values (or other measured values) can also be used to monitor 
25 the operation of the sensor and meter. For example, ratios of current values can be 
checked to determine if there has been some failure of the measurement (e.g., the 
sensor has been pulled out of the measuring device, etc.). The acceptable ratio range, 
will typically depend on the type and components of the sensor, the rate at which 
measurements are made, and the acceptable noise level. As an example, an 
30 acceptable ratio range could be, for example, 2:1 to 1:2 for immediately adjacent 
measurements. 



WO 01/33216 PCT/US00/29540 

42 

The discussion above has focused on the extrapolation of charge 
required to complete electrolysis of an analyte in a sample using the slope of the 
natural logarithm of current versus time under diffusion limited conditions. Those 
skilled in the art will recognize that this slope is related to a Effective Diffusion 
5 Coefficient, and that other linear or non-linear mathematical functions related to the 
Effective Diffusion Coefficient can also be used to extrapolate the charge. 

The extrapolation of current measurements and the determination of 
charge passed or projected to pass, as well as the concentration of the analyte, and 
other functions can be performed by a processor with or without a storage medium, 

1 0 in which the desired procedures are performed by software, hardware, or a 

combination thereof. According to another embodiment, these same procedures are 
accomplished using discrete or semi-programmable hardware configured, for 
example, using a hardware descriptive language, such as Verilog. In yet another 
embodiment, the procedures are performed using a processor having at least one 

1 5 look-up table arrangement with data stored therein to represent the complete result 
or partial results of the above equations based on a given set of input data. 

Current measurements can be made by a variety of methods. For 
example, the current measurements can be made by directly measuring the current 
using any known techniques and devices. 

20 Another method of measuring current includes discharging a known 

amount of charge into the sample (by electrolysis of the analyte) and measuring the 
time required for the discharge. Current is then calculated as the quotient of charge 
and discharge time. As an example, a capacitor can be charged by circuitry in the 
meter and then coupled to the working or counter electrode(s) to discharge by 

25 electrolysis of the analyte. The time to discharge to a threshold level can be 

measured using, for example, a clock circuit that is part of the processing circuitry of 
the meter. The use of a clock circuit permits very accurate measurements of time. 
This can be advantageous over designs that directly measure current or charge and 
must convert these analog measurements to processible digital representations using 

30 the more expensive A/D (analog-to-digital) converters. 

The accuracy of the charge and time measurement, which provides 
the current values, affects the accuracy of the final analyte concentration . 



WO 01/33216 PCT/US00/29540 

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measurement. Although it is desired to use a high-quality and highly accurate 
measuring device, the capacitor used to store the charge can be a high-quality, 
expensive capacitor that has a precisely known capacitance. Alternatively, an 
accurate charge measurement can be obtained by using a calibrating resistor in 
5 parallel with the capacitor. During a calibration period, the capacitor discharges 
through the resistor and the current through the resistor or the time constant of the 
discharge can be determined. This can then be used to determine the charge stored 
in the capacitor. A high-quality, very accurate resistor is typically less expensive 
than a similarly accurate capacitor, and will provide the same amount of accuracy to 
10 the charge measurement. 

The charge, Q, no matter how determined, is then used to calculate 
the concentration of the analyte (C A ) by the following equation (when the redox 
mediator is non-Ieachable): 

C A = Q/nFV (3a) 
15 where n is the number of electron equivalents required to electrolyze the analyte, F is 
Faraday's constant (approximately 96,500 coulombs per equivalent), and V is the 
volume of sample in the measurement zone. When using a diffusible mediator, the 
concentration of the analyte can be obtained from the following equation: 

C A = (Q tot -Qba Ck )/nFV (3b) 
20 where Q tot is the total charge transferred during the measurement and Q back is the 

amount of charge transferred that was not due to the analyte, e.g., charge transferred 
by the shuttling of the diffusible mediator between the working electrode and the 
counter electrode. In at least some instances, the sensor is constructed so that the 
background charge is at most 5 times the size of the charge generated by electrolysis 
25 of an amount of analyte. Preferably, the background signal is at most 200%, 100%, 
50%, 25%, 10%, or 5% of the charge generated by electrolysis of the analyte. 

One example of a method for determining the ratio of background 
signal to signal generated by electrolysis of the analyte is described as follows. If 
' the shuttling of the redox mediator is not disabled by the applied potential, the 
30 charge that results from the shuttling may be represented by the following formula: 

Q back = (AFD M C M /d)(tn M ) 



WO 01/33216 PCT/US00/29540 

44 

where A is the area of the working electrode; F is Faraday's constant (96,500 
coulombs/equivalent); D M is the effective diffusion coefficient of the redox 
mediator; C M is the concentration of the redox mediator in the measurement zone; d 
is the distance separating facing electrodes; t is the amount of time for the 
5 measurement; and n M is the number of electrons gained or lost by the redox 
mediator. 

Additionally, the charge of the analyte, when the analyte is 
electrooxidized to about 90% completion in the measurement period, may be 
represented by the following formula: 

10 Q G = Ad(0.90)C G n G F 

where A is the area of the working electrode; d is the distance separating facing 
electrodes; C G is the concentration of glucose; n is the number of electrons needed to 
electrolyze the analyte (e.g., 2 electrons per glucose molecule); and F is Faraday's 
constant. For glucose, when C G is 5 mM (or 5 x 10" 6 moles/cm 3 ), t is 60 seconds, n G 

15 is 2, and n M is 1, the ratio of charge from the redox mediator to the charge from 
electrooxidation of the analyte may be represented by the following formula: 
(WQa = Pm C M /d 2 )(t n M /(0.9 na C G )) = (D M C M / d 2 ) x (6.7 x 10 6 ) 
For example, if the ratio of Q Back /Q G is 5, then (D M C M )/ d 2 is 7.5 x 10~ 7 moles/(cm 3 
sec). Also for example, if the ratio of Q Back /Q G is 1, then (D M C M )/ d 2 is 1.5 x 10* 7 

20 moles/(cm 3 sec). Still another example, if the ratio is 0.1, then (D M C M )/ d 2 is 1 .5 x 
10" 8 moles/(cm 3 sec). Thus, depending on the ratio desired, a sensor may be 
configured to have the desired ratio by choosing D M , C M , and d accordingly. 

The ratio can be affected, for example, by reducing the concentration 
of the redox mediator (i.e., C M may be reduced). Alternatively, or additionally, the 

25 diffusion of the redox mediator may be reduced. Other sensor configurations are 

also suitable for controlling the ratio of background signal to signal generated by the 
analyte and will be described below. 

The background charge, Q back , can be accounted for in a variety of 
ways. Q back can be made small, for example, by using only limited amounts of 

30 diffusible redox mediator; by providing a membrane over the counter electrode that 
limits diffusion of the redox mediator to the counter electrode; or by having a 
relatively small potential difference between the working electrode and the counter 



WO 01/33216 PCT/USOO/29540 

45 

electrode. Other examples of sensor configurations and methods suitable for 
reducing include having a redox mediator reaction rate at the working electrode 
that is significantly faster than that at the counter electrode; immobilizing the redox 
mediator on the working electrode; having the redox mediator become immobilized 
5 on the counter or counter/reference electrode upon its reaction at the counter or 
counter/reference electrode; or slowing the diffusion of the redox mediator. 

For coulometric measurements, at least 20% of the analyte is 
electrolyzed, preferably at least 50%, more preferably at least 80%, and even more 
preferably at least 90% of the analyte is electrolyzed. In one embodiment of the 

1 0 invention, the analyte is completely or nearly completely electrolyzed. The charge 
can then be calculated from current measurements made during the electrochemical 
reaction, and the concentration of the analyte is determined using equation (3a) or 
(3b). The completion of the electrochemical reaction is typically signaled when the 
current reaches a steady-state value. This indicates that all or nearly all of the 

15 analyte has been electrolyzed. For this type of measurement, at least 90% of the 
analyte is typically electrolyzed, preferably, at least 95% of the analyte is 
electrolyzed and, more preferably, at least 99% of the analyte is electrolyzed. 

For coulometry, it is typically desirable that the analyte be 
electrolyzed quickly. The speed of the electrochemical reaction depends on several 

20 factors, including the potential that is applied between the electrodes and the kinetics 
of reactions (1) and (2). Other significant factors include the size of the 
measurement zone. In general, the larger the potential, the larger the current through 
the cell and therefore, the faster the reaction will typically occur. However, if the 
potential is too large, other electrochemical reactions may introduce significant error 

25 in the measurement. Typically, the potential between the electrodes as well as the 
specific redox mediator and optional second electron transfer agent are chosen so 
that the analyte will be almost completely electrolyzed in less than 5 minutes, based 
on the expected concentration of the analyte in the sample. Preferably, the analyte 
will be almost completely electrolyzed within about 2 minutes and, more preferably, 

30 within about 1 minute. 

Although coulometry has the disadvantage of requiring the volume of 
the measured sample be known, coulometry is a preferred technique for the analysis 



WO 01/33216 PCT/USOO/29540 

46 

of the small sample because it has the advantages of, for example, no temperature 
dependence for the measurement, no enzyme activity dependence for the 
measurement, no redox-mediator activity dependence for the measurement, and no 
error in the measurement from depletion of analyte in the sample. As already 
5 described above, coulometry is a method for determining the amount of charge 
passed or projected to pass during complete or nearly complete electrolysis of the 
analyte. One coulometric technique involves electrolyzing the analyte on a working 
electrode and measuring the resulting current between the working electrode and a 
counter electrode at two or more times during the electrolysis. The electrolysis is 

10 complete when the current reaches a steady state. The charge used to electrolyze the 
sample is then calculated by integrating the measured currents over time and 
accounting for any background signal. Because the charge is directly related to the 
amount of analyte in the sample there is no temperature dependence of the 
measurement. In addition, the activity of the enzyme does not affect the value of the 

15 measurement, but only the time required to obtain the measurement (i.e., less active 
enzyme requires a longer time to achieve complete electrolysis of the sample) so that 
decay of the enzyme over time will not render the analyte concentration 
determination inaccurate. And finally, the depletion of the analyte in the sample by 
electrolysis is not a source of error, but rather the objective of the technique. 

20 (However, the analyte need not be completely electrolyzed if the electrolysis curve is 
extrapolated from the partial electrolysis curve based on well-known electrochemical 
principles.) 

It may be desirable in some instances to utilize non-coulometric 
assays, such as amperometric or potentiometric measurement techniques. 

25 "Amperometry" and "chronopotentiometry" refer to taking a potentiometric 

measurement at one or more points in time. These measurement techniques are 
useful when the volume of the measured sample is unknown; the volume of the 
sample in the measurement zone of a small volume sensor (i.e., no more than one 
microliter) may be difficult to accurately reproduce if the manufacturing tolerances 

30 of one or more dimensions of the measurement zone have significant variances. For 
information regarding using non-coulometric measuring, such as amperometric and 



WO 01/33216 PCT/US00/29540 

47 

potentiometric techniques, see, for example, U.S. application Serial No. 09/295,962, 
filed April 21, 1999. 

Heating of Sample 

5 The sample can be heated to increase the rate of diffusion, oxidation, 

or reduction of the analyte. This heating can be accomplished by a variety of 
techniques including placing the sensor in a heated environment or applying a 
heating unit to the sensor. 

Another technique includes providing a thermal heating element, 

10 such as, for example, a wire or an ink element that is capable of converting electrical 
energy into heat energy, on the sensor. This wire or ink can be applied, for example, 
on the opposite side of a base material, such as a polymer film, from one or more of 
the working, counter, reference, or counter/reference electrodes, or applied around 
the periphery of the working, counter, reference, or counter/reference electrodes. In 

15 some instances, the sample is heated up to 5 to 20°C above an initial temperature. In 
other instances, the temperature of the sample may not be known but a constant 
amount of power or current is applied to the wire or ink. 

General Examples 

20 The invention will be further characterized by the following general 

examples. These examples are not meant to limit the scope of the invention which 
has been fully set forth in the foregoing description. Variations within the concepts 
of the invention are apparent to those skilled in the art. 

One method for manufacturing the sensor shown in Figures 5 A 

25 through 5C, having a working electrode, multiple counter/reference electrodes, and a 
side filled sample chamber, is described below. According to the method described 
herein, a plurality of sensors are produced and then separated. 

A first non-conducting substrate, preferably polyester, is provided. A 
conductive carbon ink, such as that available from Ercon of Wareham, MA under the 

30 trade designation "Graphite #G4491", is screen printed onto a first half of the first 
polymeric substrate in the pattern shown in Figure 5 A and dried, to provide the 
working electrode 422, trace 453 and contact pad 423. Once the substrate web is cut 



( 



WO 01/33216 PCT/USOO/29540 

48 

to the final size, each working electrode 422 will extend across the width of the 
sensor and have a trace 453 that extends to the far end of the sensor. As an example, 
a sensor can be made with a width of about 6.1 mm (0.240 inch). Typical sensor 
widths are about 2 mm to 20 mm, preferably about 4 mm to 10 mm, but wider or 
5 narrower sensors can be used as desired. 

A sensing layer, as described in U.S. Patent Application Serial No. 
09/295,962, comprising a diffusible mediator and diffusible glucose dehydrogenase 
enzyme, is applied to the working electrode in a sample chamber region. The 
sensing layer can be provided on the electrode prior to or subsequent to providing 

10 the sample chamber. On the other half of the polyester substrate, a conductive 

silver/silver chloride ink, such as that commercially available from Ercon under the 
trade designation "Silver/Silver Chloride #R414", is screen printed onto a second 
half of the first polymeric substrate in the pattern shown in Figure 5B and dried. In 
the embodiment shown in Figure 5B, the Ag/AgCl ink provides a first indicator or 

15 reference electrode 441 , a counter electrode 424, and a second indicator electrode 
442. Counter electrode may extend across the entire sensor surface, or may extend 
only a portion thereof. As an example, the width of a counter electrode is about 1 
mm to 20 mm, preferably about 2 to 10 mm. In one sensor configuration, the 
counter electrode 424 has a width of about 3.71 mm (0.146 inch). The indicator 

20 electrodes can have a width, for example, of about 0, 1 mm to 5 mm, preferably 
about 0.25 mm to about 1 mm. 

In one sensor configuration, working electrode, such as working 
electrode 422 shown in Figure 5 A, extends the width of the sensor, which is about 
6.1 mm (0.240 inch). A counter electrode, such as counter electrode 424, has a 

25 width of about 3.71 mm (0.146 inch). Indicator electrodes, such as indicator 

electrodes 441 , 442 in Figure 5B, each can have a width of about 0.5 1 mm (0.020 
inch). A spacing of 0.30 mm (0.012 inch) is present between these indicator 
electrodes and the counter electrode. The indicator electrodes may be each set back 
from the eventual side edge of the sensor strip, for example, by approximately 0.38 

30 mm (0.015 inch), so that the electrodes 441, 442 are not damaged, for example, 
smeared, streaked, chipped or the like, by the process of slitting the substrate into 
individual sensors. 



WO 01/33216 PCT/US00/29540 

49 

The invention has been described with reference to various specific 
and preferred embodiments and techniques. However, it will be apparent to one of 
ordinarily skill in the art that many variations and modifications may be made while 
remaining within the spirit and scope of the invention. 



WO 01/33216 PCT/USOO/29540 

50 

WE CLAIM: 

1 . A sensor comprising: 

a first substrate having a first major surface and a second major surface 
opposing the first major surface; 

a second substrate having a first major surface and a second major surface 
opposing the first major surface, the first and second substrates being disposed so 
that the first major surface of the first substrate is in facing relationship with the first 
major surface of the second substrate; 

a working electrode disposed on the first major surface of the first substrate; 

a counter electrode disposed on the first major surface of one of the first 
substrate and the second substrate; and 

an insertion monitor disposed on the second major surface of one of the first 
substrate and the second substrate, the insertion monitor being configured and 
arranged to provide a path for electrical current between at least two contact leads of 
a meter for indication that the sensor has been properly inserted into the meter. 

2. The sensor according to claim 1 , wherein the insertion monitor is disposed 
on the second major surface of the first substrate. 

3. The sensor according to any of claims 1-2, wherein the counter electrode is 
disposed on the first major surface of the second substrate. 

4. The sensor according to any of claims 1-3, wherein the sensor has a width, 
and the insertion monitor is a conductive stripe extending across the width of the 
sensor. 

5. The sensor according to any of claims 1-4, wherein the insertion monitor has 
two or more contact regions for electrical contact with the meter. 

6. The sensor according to any of claims 1-5, wherein the insertion monitor is 
configured and arranged to provide encoded information about the strip. 



WO 01/33216 PCT/US00/29540 

51 



7. A sensor strip comprising: 

a first substrate having a first major surface and a second major surface 
opposing the first major surface; 

a second substrate having a first major surface and a second major surface 
opposing the first major surface, the first and second substrates being disposed so 
that the first major surface of the first substrate is in facing relationship with the first 
major surface of the second substrate; 

a working electrode disposed on the first major surface of the first substrate; 

a counter electrode disposed on the first major surface of one of the first 
substrate and the second substrate; and 

a plurality of contact pads disposed on the first and second substrates, at least 
one of the contact pads being in electrical communication with the working 
electrode and at least one other contact pad being in electrical communication with 
the counter electrode, wherein each contact pad has a contact pad width measured 
parallel to a width of the first and second substrates, and wherein the sum of the 
contact pad widths is greater than the width of the first substrate and greater than the 
width of the second substrate. 



8. The sensor strip of claim 7 wherein the plurality of contact pads are disposed 
on at least three of the following surfaces: the first major surface of the first 
substrate, the second major surface of the first substrate, the first major surface of 
the second substrate, and the second major surface of the second substrate. 

9. The sensor strip of any of claims 7-8, further comprising: 

a conductive trace positioned on the second major surface of one of the first 
substrate and the second substrate, the conductive trace electrically connected to two 
or more contact pads for electrical contact with a connector, the conductive trace 
configured and arranged to close an electrical circuit, and wherein conductive trace 
has a resistance that carries information related to the sensor. 



II I 

WO 01/33216 PCT/US00/29540 

52 

10. An electrochemical sensor device, comprising: 

(a) an electrochemical sensor comprising 

(i) at least one working electrode, 

(ii) at least one counter electrode, and 

(iii) a sample chamber for holding a body fluid sample in 
electrolytic contact with the at least one working electrode 
and at least one counter electrode; and 

(b) a measuring device comprising 

(i) a capacitor configured and arranged for coupling to the at 
least one working electrode to repeatedly deliver an amount of 
charge by repeatedly discharging, for electrolyzing at least a 
portion of an analyte in a body fluid disposed in the sample 
chamber, 

(ii) a clock to measure discharge times of the capacitor, and 

(iii) a processor to determine a concentration of the analyte in the 
body fluid based on the discharge times. 

11. A connector comprising: 

a plurality of contact structures for releasable connection to an 
electrochemical analyte sensor, wherein each contact lead comprises 

a proximal end for electrical connection to a sensor contact, and 
a distal end for electrical connection to an electrical device; and 
wherein the plurality of contact leads comprises 

one or more first contact leads extending longitudinally from the 

distal end to the proximal end, and 
one or more second contact leads extending longitudinally from the 
distal end past the proximal end of the one or more first 
contact leads and angling toward a longitudinal center line of 
the sensor. 



WO 01/33216 PCT/USOO/29540 

53 

12. The connector of claim 1 1, wherein the connector comprises at least two 
second contact leads to make electrical contact with a single conductive surface of 
the sensor. 

13. The connector of claim 12, wherein the first contact leads are configured and 
arranged to contact at least one of a working electrode and a counter electrode of a 
sensor, and wherein the second contact leads are configured and arranged to contact 
an insertion monitor of a sensor. 

14. A method for the manufacture of a sensor according to any of the preceding 
claims, the method comprising the steps of: 

providing an adhesive having first and second surfaces covered with first and 

second release liners; 
cutting through the first release liner but not through the second release liner 

to define a plurality of sample chamber regions; 
removing a portion of the first release liner to expose a portion of the first 

adhesive surface leaving a remaining portion of the first release liner 

over the sample chamber regions; 
applying the exposed first adhesive surface to a first substrate; 
removing the second release liner together with the adhesive and first release 

liner of the sample chamber regions to expose the second adhesive 

surface and to expose the first substrate in the sample chamber 

region; and 

applying a second substrate over the second adhesive surface forming a 

sample chamber in the sample chamber region, wherein a plurality of 
conductive traces are disposed on the first substrate, the second 
substrate, or a combination thereof, the conductive traces defining at 
least one working electrode and at least one counter electrode, and the 
sample chambers are disposed to allow an analyte sample disposed in 
the sample chambers to be electrolyzed by a current flowing between 
the working electrode and the counter electrode; and 



WO 01/33216 PCT/USOO/29540 

54 

separating a plurality of electrochemical sensors, each electrochemical sensor 
comprising at least one of the working electrodes, at least one of the 
counter electrodes, and at least one of the sample chambers. 

15. The method of claim 14 wherein the working electrodes are disposed on one 
of the substrates and the counter electrodes are disposed on the other substrate. 

1 6. A method for determining a concentration of an analyte in a body fluid 
sample, the method comprising steps of: 

disposing a body fluid sample in a sample chamber of an electrochemical 
sensor according to any of claims 1-13, the electrochemical sensor 
comprising at least one working electrode and at least one counter 
electrode for electrolyzing an analyte in the body fluid sample in the 
sample chamber of the electrochemical sensor; 

electrolyzing at least a portion of an analyte in the body fluid sample by 

causing a current to flow between the at least one working electrode 
and the at least one counter electrode; 

determining, during the electrolyzing of the analyte, a plurality of current 
values, at least some of the current values being obtained while the 
electrolysis of the analyte in the sensor is substantially diffusion 
limited; 

determining, from the current values obtained while the electrolysis of the 

analyte in the sensor is substantially diffusion limited, parameters for 
extrapolation of a relationship between the current values and time; 

determining from the plurality of current values the amount of an actual 
charge consumed in the partial electrolysis of the analyte in the 
sample; 

determining, from the parameters for extrapolation of the relationship 

between the current values and time, an extrapolated charge required 
to electrolyze the analyte remaining in the sample; 



WO 01/33216 PCT/USOO/29540 

determining the concentration of the analyte in the body fluid sample from 
the actual charge and the extrapolated charge. 

17. The method of claim 16, wherein the step of determining parameters for 
extrapolation of the relationship between current values and time comprises 
determining a value related to a diffusion coefficient of the analyte in the sensor. 

1 8. The method of any of claims 16-17, wherein the step of determining 
parameters for extrapolation of the relationship between current values and time 
comprises determining a slope of a natural logarithm of current values versus time 
obtained while the electrolysis of the analyte in the sensor is substantially diffusion 
limited. 

19. An electrochemical sensor device comprising: 

(a) an electrochemical sensor according to any of claims 1-13, the sensor 
comprising: 

(i) at least one working electrode, 

(ii) at least one counter electrode, and 

(iii) a sample chamber for holding a body fluid sample in 
electrolytic contact with the at least one working electrode 
and at least one counter electrode; and 

(b) a processor coupled to the electrochemical sensor, the processor 
being configured and arranged to 

(i) electrolyze at least a portion of an analyte in the body fluid 
sample by causing a current to flow between the at least one 
working electrode and at least one counter electrode; 

(ii) determine, during the electrolyzing of the analyte, a plurality 
of current values, at least some of the current values being 
obtained while the electrolysis of the analyte in the sensor is 
substantially diffusion limited; 



WO 01/33216 PCT/US00/29540 

56 

(iii) determine, from the current values obtained while the 
electrolysis of the analyte in the sensor is substantially 
diffusion limited, parameters for extrapolation of a 
relationship between the current values and time; 

(iv) determine the amount of an actual charge consumed in the 
partial electrolysis of the analyte in the sample; 

(v) determine an extrapolated charge required to electrolyze the 

r 

analyte remaining in the sample; and 

(vi) determine, from the actual charge and the extrapolated charge, 
the concentration of the analyte in the body fluid sample. 

20. A method of determining an amount of current used to electrolyze a portion 
of an analyte in a body fluid sample disposed in an electrochemical sensor according 
to any of claims 1-13, the method comprising: 

discharging an amount of charge into the body fluid sample disposed in the 
electrochemical sensor and electrolyzing the analyte; 

determining an amount of time needed to discharge the amount of charge; 

and 

determining the current used to electrolyze the portion of the analyte using 
the amount of charge and the amount of time. 

21. The method of claim 20 wherein the charge is provided by the discharge of a 
capacitor. 

22. The method of any of claims 20-2 1 , further comprising calibrating the 
capacitor by discharging the capacitor through a resistor of known resistance and 
measuring either a current or a time constant associated with the discharge. 



WO 01/33216 



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FIG. 1 




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FIG. 4 



320 




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5/26 

FIG. 5A FIG. 5B FIG. 5C 



425 444 




424 



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to 
to 




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FIG. 9A FIG. 9B FIG. 9C 




568 



572 



574 



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566 



SUBSTITUTE SHEET (RULE 26) 



WO 01/33216 



PCT/USOO/29540 



FIG. 10A 



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FIG. 10B 



FIG. 10C 



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FIG. 1 3A 



13/26 



PCT/USOO/29540 




FIG. 13B 




SUBSTITUTE SHEET (RULE 26) 



PCT/US00/29540. 




WO 01/33216 PCT/US00/29540 

15/26 

FIG. 14G 



1020b 



1020a 



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6 



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FIG. 19A 



24/26 

FIG. 1 9B 



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FIG. 19C 




FIG. 19D 




FIG. 19E 




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FIG. 19H 



FIG. 191 



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FIG. 20 




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INTERNATIONAL SEARCH REPORT 



International Application No 

PCT/US 00/29540 



A. CLASSIFICATION OF SUBJECT MATTER 

IPC 7 G01N33/487 G01N33/543 G01N27/42 



According lo International Patent Classification (IPC) or to bolh national classification and IPC 

B. FIELDS SEARCHED 

Minimum documentation searched (classification system followed by classification symbols) 

IPC 7 G01N C12Q 



Documentation searched other than minimum documentation to the extent that such documents are Included in the fields searched 



Electronic data base consulted during the international search (name of data base and, where practical, search terms used) 

EPO-Internal , WPI Data 



C. DOCUMENTS CONSIDERED TO BE RELEVANT 



Category • 


Citation of document, with Indication, where appropriate, of the relevant passages 


Relevant to claim No. 


Y 


WO 98 35225 A (T0MASC0 MICHAEL F ; HELLER 

ADAH (US); HELLER E & CO (US); SAY JAMES) 

13 August 1998 (1998-08-13) 

cited in the application 

page 1, line 25 -page 4, line 21 


1-6,10 


X 
Y 


US 5 502 396 A (DESARZENS PIERRE ET AL) 
26 March 1996 (1996-03-26) 
the whole document 


11-13 
1-6 


A 


WO 98 43073 A (BECK THOMAS WILLIAM ; HODGES 
ALASTAIR MCINDOE (AU); CHAMBERS GARRY) 
1 October 1998 (1998-10-01) 
page 1, line 4 -page 7, line 23 


7,14 


Y 


US 5 781 455 A (HY0D0 HIROSHI) 

14 July 1998 (1998-07-14) 

column 1, line 14 -column 9, line 40 

-/-- 


10 



LU 



Further documents are fisted in the continuation of box C. 



Patent family members are fisted in annex. 



0 Special categories of cited documents : 
•A' 
■E 



document defining the general stale of the art which is not 
considered to be of particular relevance 
earlier document but published on or after the International 
filing dale 

document which may throw doubts on priority datm(s) or 
which is ctted to establish the publication dale of another 
dtalton or other special reason (as specified) 
O* document referring to an oral disclosure, use, exhibition or 
other means 

P' document published prior lo the International filing date but 
later than the priority date claimed 



■T later document published after the international filing date 
or priority date and not in conflict with the application but 
cited lo understand the principle or theory underlying the 
invention 

•X* document of particular relevance; the claimed invention 
cannot be considered novel or cannot be considered to 
invoh/e an inventive step when the document is taken alone 

■V document ol particular relevance; the claimed invention 

cannot be considered to involve an Inventive step when the 
document b combined with one or more other such docu- 
ments, such combination being obvious to a person skilled 
In the ait 

*&" document member ol the same patent family 



Date of the actual completion of the international search 

27 March 2001 


Date of mailing of the international search report 

03/04/2001 


Name and mailing address of the ISA 

European Patent Office, P.B. 5618 Patent laan 2 
NL - 2280 HV Rqswqk 
Tel. (+31-70) 340-2040, Tx. 31 651 epo nl, 
Fax: (+31-70)340-3016 


Authorized officer 

Joyce, D 



Form PCT/1SA/210 (second sheal) (July 1992) 



page 1 of 2 



INTERNATIONAL SEARCH REPORT 



international Application No 

PCT/US 00/29540 



C.(Contlnuatlon) DOCUMENTS CONSIDERED TO BE RELEVANT 



Category ' 



Citation of documenl, with indicalion.where appropriate, of the relevant passages 



Relevant to claim No. 



WO 98 58250 A (ELAN CORP PLC) 
23 December 1998 (1998-12-23) 
page 22, line 1 - line 30 
page 27, line 32 -page 28, line 8 

EP 0 537 761 A (MATSUSHITA ELECTRIC IND CO 
LTD) 21 April 1993 (1993-04-21) 
column 2, line 23 -column 15, line 4 



16,19,20 



16,19,20 



Form PCT/1SA/210 (continuation of second sheet) (July 19G2) 



page 2 of 2 



INTERNATIONAL SEARCH REPORT 

Information on patent family members 



International Application No 

PCT/US 00/29540 



Patent document 


Publication 




Patent family 


ruDiicauon 


cited in search report 


date 




member(s) 


date 


WO 9835225 A 


13-08-1998 


AU 


6157898 A 


26-08-1998 






EP 


0958495 A 


24-11-1999 






JP 


2000509507 T 


25-07-2000 






US 


6143164 A 


07-11-2000 






US 


6120676 A 


19-09-2000 





US 5502396 A 




26-03-1996 


FR 




2710413 A 


31-03-1995 






AU 


679768 B 


10-07-1997 






AU 


7303394 A 


06-04-1995 
















DE 


69424612 D 


29-06-2000 






DE 


69424612 T 


25-01-2001 






EP 


0645626 A 


29-03-1995 






ES 


2148260 T 


16-10-2000 






.IP 




04-07-1995 


WO 9843073 A 


01-10-1998 


AU 


6604498 A 


20-10-1998 






BR 


9807987 A 


15-02-2000 1 






Chi 


1c.Dl.OD1J 1 








EP 


0968415 A 


05-01-2000 



US 5781455 A 


14-07-1998 


JP 


7128338 A 


19-05-1995 






EP 


0651250 A 


03-05-1995 






US 


5589045 A 


31-12-1996 


W0 9858250 A 


23-12-1998 


IE 


970443 A 


16-12-1998 






AU 


8031898 A 


04-01-1999 






EP 


0990151 A 


05-04-2000 






TW 


380046 B 


21-01-2000 






ZA 


9805189 A 


08-01-1999 



— 

EP 0537761 A 


21-04-1993 


DE 


69221808 D 


02-10-1997 






DE 


69221808 T 


02-04-1998 






tr 




0?-10-1996 






jp 


2960265 B 


06-10-1999 






jp 


5340915 A 


24-12-1993 






US 


5264103 A 


23-11-1993 






JP 


2658769 B 


30-09-1997 






JP 


5196596 A 


06-08-1993 





Form PCT/1SA/210 (patent family annex) (Ju»/ 1992) 



■MS PAGE BUM^